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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013423100
Report Date:
01/29/2025
Date Signed:
01/29/2025 02:00:29 PM
Document Has Been Signed on
01/29/2025 02:00 PM
- 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 CC RO
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
SWINGS AND WINGS-LITTLE BUTTERFLIES
FACILITY NUMBER:
013423100
ADMINISTRATOR/
DIRECTOR:
KAZI-KOYA, SADIYA
FACILITY TYPE:
850
ADDRESS:
2307 BLANDING AVENUE, SUITE E
TELEPHONE:
(510) 747-9740
CITY:
ALAMEDA
STATE:
CA
ZIP CODE:
94501
CAPACITY:
15
TOTAL ENROLLED CHILDREN:
15
CENSUS:
6
DATE:
01/29/2025
TYPE OF VISIT:
POC
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:
Samantha Hernandez
TIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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LPAs K. Merchant and D. Campos arrived at the facility for the purpose of conducting a Case Management Plan of Correction inspection following a deficiency citation issued on 1/27/2025. Present during the inspection were 2 staff and 6 preschool children. LPAs observed a notice on the door which indicates the facility is "Closed for Drop in Play". LPAs did not observe any non-preschool children present in the licensed facility today. The facility was observed to be in compliance today. A letter of Deficiency Citations Cleared was left with Director.
Exit interview conducted with Director Samantha Hernandez.
A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME
:
Sherelle Johnson
LICENSING EVALUATOR NAME
:
Diana Campos
LICENSING EVALUATOR SIGNATURE
:
DATE:
01/29/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/29/2025
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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