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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405603
Report Date: 02/07/2025
Date Signed: 02/07/2025 02:59:30 PM

Document Has Been Signed on 02/07/2025 02:59 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:GEORGE MILLER CENTER - RICHMONDFACILITY NUMBER:
073405603
ADMINISTRATOR/
DIRECTOR:		CHRISTINE ROTTGERFACILITY TYPE:
840
ADDRESS:2801 ROBERT MILLER DRIVETELEPHONE:
(510) 374-3981
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 4DATE:
02/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Melissa ValenzuelaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On February 7, 2025 Licensing Program Analyst (LPA) Indira Loza met with facility representative Melissa Valenzuela to conduct a case management visit for an unusual incident reported to the Oakland Regional Office on January 31, 2025. Present during today's visit were two fingerprint cleared staff and 4 participants.

There were no deficiencies cited during today's visit.

Exit interview conducted.
Report and Appeal Rights provided to facility representative Melissa Valenzuela.
Notice of Site Visit provided and must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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