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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013410074
Report Date: 08/30/2022
Date Signed: 08/30/2022 11:53:17 AM

Document Has Been Signed on 08/30/2022 11:53 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ECOLE BILINGUE DE BERKELEY PRESCHOOLFACILITY NUMBER:
013410074
ADMINISTRATOR:MIRZA KOPELMANFACILITY TYPE:
850
ADDRESS:2830 TENTH ST.TELEPHONE:
(510) 549-3867
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: DATE:
08/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Chauncey BurnettTIME COMPLETED:
12:15 PM
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On 08/30/22, Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit arrived at the facility for an announced case management inspection to measure the renovated preschool outdoor play yard. LPAs met with Chauncey Burnett, the enrichment Director. The normal hours of operation are Monday-Friday 7:30am-6pm. There are no changes to the capacity or other classrooms, bathrooms that were previously licensed. LPAs toured the renovated play yard area to conduct a health and safety inspection, and completed the following measurements:

OUTDOORS: 6,138.77 square feet = 82 children
INDOORS: 4,708.76 square feet = 134 children. Measurements remain the same from previous visit.

Chauncey Burnett will submit an updated waiver request for outdoor play yard. The outdoor play yard can be used when the facility is ready. The building within the outdoor play yard will be outdoor bathrooms, is still being renovated. There are no deficiencies being cited today. This report will remain on file for 3 years. A Notice of Site inspection was provided to Chauncey Burnett, and an exit interview was conducted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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