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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010210219
Report Date: 09/19/2024
Date Signed: 09/19/2024 09:50:49 AM

Document Has Been Signed on 09/19/2024 09:50 AM - 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:GAN MAH TOV PRESCHOOLFACILITY NUMBER:
010210219
ADMINISTRATOR/
DIRECTOR:		NEELY, JULIAFACILITY TYPE:
850
ADDRESS:3778 PARK BOULEVARDTELEPHONE:
(949) 378-7167
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY: 40TOTAL ENROLLED CHILDREN: 16CENSUS: 12DATE:
09/19/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Beverly WeinbergerTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
NARRATIVE
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On 09/19/2024 at 8:45AM Licensing Program Analyst (LPA), A. Curry conducted an announced case management inspection. LPA met with the Interim Director, Beverly Weinberger, to explain the purpose of today's visit. LPA toured the facility and inspected possible areas that may be added to an on-limit area. No deficiencies are being cited today.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, appeal rights were given, and report was reviewed with Director, Beverly Weinberger.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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