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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010212245
Report Date: 08/17/2023
Date Signed: 08/17/2023 01:47:38 PM

Document Has Been Signed on 08/17/2023 01:47 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:CORNERSTONE CHILDREN'S CENTERFACILITY NUMBER:
010212245
ADMINISTRATOR:GRAY, TARAFACILITY TYPE:
850
ADDRESS:2407 DANA STREETTELEPHONE:
(510) 280-6126
CITY:BERKELEYSTATE: CAZIP CODE:
94704
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 45DATE:
08/17/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Tara GrayTIME COMPLETED:
01:45 PM
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On 8/17/23, Licensing Program Analyst (LPA) Melissa Domantay conducted a case management inspection at this facility. LPA met with Director, Tara Gray. There were 45 children and 9 staff present during the inspection. An application was received with a request for adding a room, for Room W-6 the "Steam Room" to be added to the license. The facility will operate Monday-Friday 7:30am-5:30pm.

A tour of room W-6 the "Steam Room" was conducted for a health and safety inspection with Director, Tara Gray. LPA did not observe any hazardous items, defects or dangerous conditions. Classroom has a fully charged 2A10BC fire extinguisher and centralized combination carbon monoxide/smoke detection system.

A new room, the Steam Room has been added to the facility. LPA measured the additional room that was added. All previous rooms have remained the same. LPA completed the following measurements:

INDOORS: 645.99 square feet = 18 children
OUTDOORS: Remain the same from previous inspection.

A fire clearance, dated 6/26/23, was received from the Berkeley Fire Department for adding a room for (40) infants, ages 0-24 months and (72) preschoolers, ages 2 years to first grade entry.

Room W-6 the "Steam Room" will be made part of the preschool license effective 8/17/23 with a capacity of 72 preschool children. There are no deficiencies being cited. An exit interview was conducted with Director, Tara Gray and appeal rights were provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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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