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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070200456
Report Date: 03/29/2023
Date Signed: 03/29/2023 01:26:55 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/29/2023 01:26 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:LAFAYETTE NURSERY SCHOOLFACILITY NUMBER:
070200456
ADMINISTRATOR:PARRY, NANCYFACILITY TYPE:
850
ADDRESS:979 FIRST STREETTELEPHONE:
(925) 284-2448
CITY:LAFAYETTESTATE: CAZIP CODE:
94549
CAPACITY: 25TOTAL ENROLLED CHILDREN: 45CENSUS: 10DATE:
03/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Chandra MontgomeryTIME COMPLETED:
02:30 PM
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On 03/29/2023 at 1:45 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced random inspection. LPA met with designated facility Director, Chandra Montgomery . This is a preschool age program licensed for 25 children which operates Monday – Friday from 8:30AM – 4:00PM. Per the Director there are 45 children enrolled.

LPA A. Curry toured the facility to conduct a health and safety inspection. LPA observed 10 children with 2 staff and 3 parent volunteers. All children were observed to be under visual supervision of a teacher at all times. On 02/15/2023 LPA previously conducted an annual/random inspection, which included reviewing staff and children files. There have been no changes since last inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights were given, and report was reviewed with director Chandra Montgomery .

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2023
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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