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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423078
Report Date: 07/12/2023
Date Signed: 07/12/2023 01:56:54 PM

Document Has Been Signed on 07/12/2023 01:56 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:GUIDEPOST MONTESSORI AT EMERYVILLEFACILITY NUMBER:
013423078
ADMINISTRATOR:BAILEY,AARON & NEELY,JULIEFACILITY TYPE:
830
ADDRESS:1450 63RD ST.TELEPHONE:
(510) 250-3792
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 43DATE:
07/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Stephanie FuTIME COMPLETED:
02:15 PM
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On July 12, 2023, Licensing Program Analyst (LPA) Melissa Domantay conducted an unannounced case management inspection in regards to an unusual incident reported to the Oakland Regional Office on July 7, 2023. LPA met with Head of School, Stephanie Fu. There were 16 staff and 43 children present during today's visit.

LPA interviewed Head of School, Stephanie Fu, staff, and children regarding the incident that occurred during today's visit.

No deficiencies cited during today's visit. Exit interview conducted.
A copy of the report and appeal rights provided to Head of School, Stephanie Fu.
Notice of Site Visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2023
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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