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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700540
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:51:05 PM

Document Has Been Signed on 08/22/2024 03:51 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ADVENTURE MONTESSORI ACADEMYFACILITY NUMBER:
015700540
ADMINISTRATOR/
DIRECTOR:		BRODOWSKI, ELIZABETHFACILITY TYPE:
850
ADDRESS:4101 PLEIADES PLACETELEPHONE:
(408) 464-3131
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY: 60TOTAL ENROLLED CHILDREN: 22CENSUS: 19DATE:
08/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Elizabeth Brodowski- DirectorTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 8/22/24, Licensing Program Analyst Briana Plumboy met with Director Elizabeth Brodowski for an UNANNOUNCED CASE MANAGEMENT INSPECTION. Also present during today's inspection are 5 staff and 19 preschool age children.

The purpose of today's inspection was to review a staff file.

There are no deficiencies cited during today's inspection. This report shall remain on file for 3 years. Exit interview conducted. A notice of cite visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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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