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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700305
Report Date: 09/01/2023
Date Signed: 09/01/2023 01:32:52 PM

Document Has Been Signed on 09/01/2023 01:32 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:MENESES MILLAN, CLAUDIAFACILITY NUMBER:
435700305
ADMINISTRATOR:MENESES MILLAN, CLAUDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 468-1788
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY: 14TOTAL ENROLLED CHILDREN: 15CENSUS: 6DATE:
09/01/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:04 PM
MET WITH:Claudia Millan MenesesTIME COMPLETED:
01:32 PM
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On 9/1/2023 Licensing Program Analyst (LPA) Morgan Pringle met with Licensee Claudia Millan Meneses for an Unannounced Case Management visit. Present during the visit were the Licensee, her two (2) helpers, Sirily Molina Comas and Diana Gomez. There were six (6) preschool age children present as well. LPA toured the home and obtained facility documents.

This visit was a follow up from the Annual inspection conducted on 8/15/2023.

There were no deficiencies cited during LPA's visit.

A notice of cite visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with Facility Staff Sirly Molina Comas.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2023
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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