<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423119
Report Date: 08/28/2024
Date Signed: 08/28/2024 02:50:12 PM

Document Has Been Signed on 08/28/2024 02:50 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:SHU REN INTERNATIONAL SCHOOLFACILITY NUMBER:
013423119
ADMINISTRATOR/
DIRECTOR:		CHEN, CHIEN-HSUANFACILITY TYPE:
850
ADDRESS:2125 JEFFERSON AVENUETELEPHONE:
(510) 841-8899
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY: 104TOTAL ENROLLED CHILDREN: 104CENSUS: 63DATE:
08/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Chien-Hsuan ChenTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On August 28, 2024 at 9:10am, Licensing Program Analyst (LPA) Indira Loza and Licensing Program Manager (LPM) Mayla Mendoza arrived at the facility for an unannounced case management inspection to deliver an amended report dated March 16, 2023. LPA and LPM met with Director Chien-Hsuan Chen. Present for today's inspection were 63 preschoolers and 16 staff. The normal hours of operation are Monday-Friday 7:30am-6:00pm. LPA and LPM toured the facility for a health and safety check.

Exit interview was conducted.
Report and Appeal Rights provided.
A Notice of Site Visit was provided to Director Chen.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1