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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420951
Report Date: 01/15/2025
Date Signed: 01/15/2025 09:59:44 AM

Document Has Been Signed on 01/15/2025 09:59 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:GLOBAL MONTESSORI INTERNATIONAL SCHOOLFACILITY NUMBER:
013420951
ADMINISTRATOR/
DIRECTOR:		TENG, VIVIFACILITY TYPE:
850
ADDRESS:2830 - 9TH STTELEPHONE:
(510) 845-6969
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 52DATE:
01/15/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Vivi TengTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On January 15, 2025 at 9:30am Licensing Program Analyst (LPA) Indira Loza arrived to the facility for an unannounced case management inspection to deliver an amended report dated January 7, 2025. LPA met with Director Vivi Teng. Present for today's inspection were 52 preschoolers and 9 staff. LPA toured the facility for a health and safety check.

Exit interview conducted.
Report reviewed with Director Teng and a copy of the report was provided.
A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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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