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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423120
Report Date: 03/06/2024
Date Signed: 03/06/2024 04:36:07 PM

Document Has Been Signed on 03/06/2024 04:36 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:DOLMA CHILD CARE CENTERFACILITY NUMBER:
013423120
ADMINISTRATOR:PALDON, TENZINFACILITY TYPE:
830
ADDRESS:1700 - 7TH STREETTELEPHONE:
(510) 414-8447
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
03/06/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Gerelbat ZorgitTIME COMPLETED:
04:45 PM
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On March 6, 2024 9:07am, Licensing Program Analyst (LPA) Indira Loza met with Owner/Director Gerelbat Zoright for an Unannounced Required Annual Inspection. Co-Owner Tenzin Paldon arrived several hours later. There were 5 infant children in care, with two additional staff members. There is an preschool component attached to the center, license number 013423125. The center was toured for a health and safety inspection and operating hours are 8am – 10pm, Monday through Sunday.

Due to time constraints the annual inspection will be continued at a later date.

Exit Interview conducted with Licensee.
Appeal Rights, Notice of Site visit, and report provided to Licensee Tenzin Paldon.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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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