Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010213812
Report Date: 02/24/2017
Date Signed: 02/24/2017 04:27:24 PM

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:EMERYVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
010213812
ADMINISTRATOR:PORTER, LOISFACILITY TYPE:
850
ADDRESS:1220 - 53RD STREETTELEPHONE:
(510) 596-4343
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:66CENSUS: 0DATE:
02/24/2017
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Lois PorterTIME COMPLETED:
04:45 PM
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Licensing Program Analyst Belinda Devall met with Director Lois Porter for the purpose of an UNANNOUNCED PLAN OF CORRECTION VISIT. The facility closed early for a staff development day. The facility was toured.


The following corrections has been made:


The facility submitted a written procedure that was sent to all parents regarding the proper procedure for sign in/out.


A Letter of Deficiency Citations Cleared will be issued today clearing the citations issued on 01/20/2017.


There were no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Belinda DeVallTELEPHONE: (510) 725-7107
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2017
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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