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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
073406683
Report Date:
09/21/2021
Date Signed:
09/21/2021 02:10:35 PM
Document Has Been Signed on
09/21/2021 02:10 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:
WOOD ROSE ACADEMY AND PRESCHOOL
FACILITY NUMBER:
073406683
ADMINISTRATOR:
CHARINA OPINION
FACILITY TYPE:
850
ADDRESS:
4347 COWELL ROAD
TELEPHONE:
(925) 825-4644
CITY:
CONCORD
STATE:
CA
ZIP CODE:
94518
CAPACITY:
72
TOTAL ENROLLED CHILDREN:
0
CENSUS:
49
DATE:
09/21/2021
TYPE OF VISIT:
Case Management - Other
ANNOUNCED
TIME BEGAN:
12:30 PM
MET WITH:
Harisdelsy H. Cardenas
TIME COMPLETED:
02:39 PM
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On 9/21/2021 Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit conducted a case management inspection at the facility above. LPAs met with Director Harisdelsy H. Cardenas and conducted a staff interview and assisted with organizing staff and children's files.
There were no deficiencies cited during this visit.
Exit interview conducted Director Harisdelsy. A copy of this report was provided to Director Haridelsy.
SUPERVISORS NAME
:
Mayla Mendoza
LICENSING EVALUATOR NAME
:
Melissa Domantay
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/21/2021
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/21/2021
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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