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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421389
Report Date: 03/18/2024
Date Signed: 03/18/2024 11:06:29 AM

Document Has Been Signed on 03/18/2024 11:06 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:PRIMROSE SCHOOL OF PLEASANTONFACILITY NUMBER:
013421389
ADMINISTRATOR:NICOLE CUSTINOFACILITY TYPE:
830
ADDRESS:7110 KOLL CENTER PARKWAYTELEPHONE:
(925) 600-7745
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 29DATE:
03/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Falguni BuddhdevTIME COMPLETED:
11:15 AM
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On March 18, 2024 at approximately 10:00AM License Program Analysts (LPAs) Lorraine Dacanay Breaux and Christina Uribe visited for an unannounced Case management - Required/Continual Required visits/inspection. This required visit is due to a non-compliance meeting held on June 23, 2023, facility is on required visit for one year. Present for today's visit was assistant director, Falguni Buddhdev and 14 additional staff members (includes administrative staff). There were 29 infant children in care. LPA reviewed and obtained a copy of the facility roster. A tour of the facility was completed for heath and safety. Hours of operation is Monday - Friday from 7:00 AM - 6:00 PM. This facility has a preschool component facility #013421388.

LPA reminded facility representative that the facility is on required visits for one year and continual required visits. LPA asked facility representatives if there were any new hires, facility representative confirmed no new hires since the last visit on November 3, 2024.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Appeal rights Provided. Exit interview conducted and report was reviewed with the facility representative, Falguni Buddhdev.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2024
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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