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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423778
Report Date: 09/12/2024
Date Signed: 09/12/2024 04:10:43 PM

Document Has Been Signed on 09/12/2024 04:10 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:SAINT PHILIP NERI PRESCHOOLFACILITY NUMBER:
013423778
ADMINISTRATOR/
DIRECTOR:		GRACE GORDILLO-BEATTYFACILITY TYPE:
860
ADDRESS:3108 VAN BUREN STTELEPHONE:
(510) 521-0787
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY: 12TOTAL ENROLLED CHILDREN: 5CENSUS: 2DATE:
09/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Grace Gordillo-BeattyTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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LPA D.Campos arrived at the facility and met with Director Grace Gordillo-Beatty to conduct an annual inspection at Saint Philip Neri Preschool. The center recently completed a change of location application. The new location is across the street from the previous address. Due to the change of location which included a new address and facility type number, LPA was unable to conduct a care tool inspection. LPA will return to conduct the annual inspection on the anniversary of the change of location date.

Exit interview conducted with Director Grace Gordillo-Beatty.

Notice of Site Visit provided must remain posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
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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