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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408278
Report Date: 03/10/2025
Date Signed: 03/10/2025 01:49:22 PM

Document Has Been Signed on 03/10/2025 01:49 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:SAFARI KID-WALNUT CREEKFACILITY NUMBER:
073408278
ADMINISTRATOR/
DIRECTOR:		AUTUMN CAZENASFACILITY TYPE:
850
ADDRESS:2210 OAK GROVE RDTELEPHONE:
(925) 464-7663
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 75TOTAL ENROLLED CHILDREN: 68CENSUS: 45DATE:
03/10/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:13 PM
MET WITH:Cazenas, AutumnTIME VISIT/
INSPECTION COMPLETED:
02:04 PM
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On March 10, 2025 Licensing Program Analyst (LPA) Mario Caro met with Directors Autumn, Cazenas and Noura Halabi to clear deficiencies that were cited on 03/04/25. During today visit there were 45 children in care.
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During today's inspection, LPA Caro observed a copy of the type A citations cited 03/04/25 posted on the parent board in the front of the facility.

Licensee emailed LPA the completed plan of corrections on 03/05/25 for the citations issued on 3/04/25.

An exit interview was conducted with Directors Autumn Cazenas and Noura Halabi.

A Notice of Site Visit was given and must remain be posted for 30 consecutive days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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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