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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700622
Report Date: 11/26/2024
Date Signed: 11/26/2024 10:00:29 AM

Document Has Been Signed on 11/26/2024 10:00 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:MONTESSORI SCHOOL OF SAN LEANDROFACILITY NUMBER:
015700622
ADMINISTRATOR/
DIRECTOR:		NASR, SARAHFACILITY TYPE:
850
ADDRESS:16492 FOOTHILL BOULEVARDTELEPHONE:
(510) 278-0288
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY: 131TOTAL ENROLLED CHILDREN: 131CENSUS: 18DATE:
11/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On November 26,2024 at, 8:30AM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced case management inspection. LPA met with Director Sarah Nasr and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 18 children and 7 staff in care at the time of the inspection.

LPA arrived at the facility to amend a report from the original findings that was delivered on 10/23/2024.

A notice of site visit and appeal rights were given. Exit interview conducted and report was reviewed with Director Sarah Nasr
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE: DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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