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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700540
Report Date: 08/30/2023
Date Signed: 08/30/2023 11:07:54 AM

Document Has Been Signed on 08/30/2023 11:07 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:ADVENTURE MONTESSORI ACADEMYFACILITY NUMBER:
015700540
ADMINISTRATOR:BRODOWSKI, ELIZABETHFACILITY TYPE:
850
ADDRESS:4101 PLEIADES PLACETELEPHONE:
(408) 464-3131
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 27DATE:
08/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elizabeth BrodowskiTIME COMPLETED:
11:00 AM
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LPA Andrew Elliot conducted a case management visit to report the findings of a complaint investigation to the Adventure Montessori facility regarding a complaint that was opened on 07/28/2023. LPA met with facility director Elizabeth Brodowski and was allowed entry to the facility after explaining the purpose of the visit. 27 preschool aged children, 2 teachers, and 1 aide are present at the time of this visit in addition to the director.

LPA reviewed 4 out of 4 personal rights violation allegations against the facility and reported to the director that all 4 allegations were unfounded, meaning that the LPA failed to gather evidence that the alleged events took place during the course of the investigation.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Andrew Elliott
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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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