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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422414
Report Date: 09/20/2021
Date Signed: 09/20/2021 03:06:56 PM

Document Has Been Signed on 09/20/2021 03:06 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:PRIDE IN LEARNING MONTESSORI SCHOOLFACILITY NUMBER:
013422414
ADMINISTRATOR:LEON, DARA & LAMB, AMBERFACILITY TYPE:
850
ADDRESS:1330 LAKESHORE AVE.TELEPHONE:
(510) 408-8180
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY: 17TOTAL ENROLLED CHILDREN: 0CENSUS: 12DATE:
09/20/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Amber LambTIME COMPLETED:
03:16 PM
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Licensing Program Analyst Lisa Dyer met with director Amber Lamb for an unannounced POC inspection. Present for this inspection were the director and 12 preschool children. The reason for today's inspection was to clear the Type A deficiency cited on 9/2/21 regarding Teacher-Child Ratios.

During today's inspection, facility is within ratio.

Today there are no deficiencies cited. This report shall remain on file for 3 years. Notice of Site of Site Visit was given. Exit interview conducted and appeal rights provided.
SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2021
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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