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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212742
Report Date: 02/09/2023
Date Signed: 02/09/2023 12:01:34 PM

Document Has Been Signed on 02/09/2023 12:01 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WCCUSD - BAYVIEWFACILITY NUMBER:
070212742
ADMINISTRATOR:MARY ABOUDIFACILITY TYPE:
850
ADDRESS:3001 16TH STREET, ROOM M4TELEPHONE:
(510) 231-1401
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 20DATE:
02/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:21 AM
MET WITH:Julie CruelTIME COMPLETED:
12:15 PM
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On Thursday, February 9, 2023 at 10:21 AM, Licensing Program Analyst (LPA) Caroline Colson met with Julie Cruel, Lead Teacher, for an unannounced case management inspection. There are 20 children and 3 teachers present. An incident occurred when the children were lining up outside of the classroom. One child was injured due to protruding nails along the elementary's school wall. The lead teacher immediately reported the incident to the elementary school office. A hired contractor came to the elementary school the next day and removed all protruding nails from the wall.

There were no deficiencies cited during this inspection.

Appeals Rights were discussed. An exit interview was conducted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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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