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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422439
Report Date: 07/20/2023
Date Signed: 07/20/2023 11:04:30 AM


Document Has Been Signed on 07/20/2023 11:04 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:PUSD- HORIZON EARLY EDUCATION CENTERFACILITY NUMBER:
013422439
ADMINISTRATOR:AZELTON, SHERYLFACILITY TYPE:
830
ADDRESS:245 ABBIE ST.TELEPHONE:
(925) 462-5500
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY:26CENSUS: 7DATE:
07/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Sheryl AzeltonTIME COMPLETED:
11:20 PM
NARRATIVE
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On July 20, 2023 at approximately 10:15AM Licensing Program Analysts (LPA) Lorraine Dacanay Breaux and Licensing Program Manager (LPM) Chandra Charles conducted a Case Management Visit following an Unusual Incident which occurred on 06/14/23. LPA received LIC 624 (Unusual Incident Report) on 7/07/23.

LPA and LPM met with Site Lead, Sheryl Azelton. There were seven (7) children in care and five (5) staff at the time of the inspection.

LPA toured the facility. LPA conducted interview with Site Lead, Sheryl Azelton. LPA obtained copies of current LIC 500 and Children’s Roster.

An exit interview was conducted with the Site Lead, Sheryl Azelton. Appeal rights provided. A notice of site visit was provided and must remain posted for 30 days.


A NOTICE OF SITE VISIT WAS PROVIDED. IT MUST BE POSTED NEAR THE FACILITY'S FRONT ENTRANCE AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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