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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070207368
Report Date: 10/08/2024
Date Signed: 10/08/2024 10:43:31 AM

Document Has Been Signed on 10/08/2024 10:43 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MORAGA VALLEY PRESBYTERIAN CHURCH NURTURYFACILITY NUMBER:
070207368
ADMINISTRATOR/
DIRECTOR:		CAROLYN NAKAOFACILITY TYPE:
850
ADDRESS:10 MORAGA VALLEY LANETELEPHONE:
(925) 376-4800
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: DATE:
10/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Carolyn NakaoTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 10/08/2024 at 9:00 AM Licensing Program Analyst (LPA), A. Curry conducted an announced case management- licensee initiated visit to add the garden to an on-limit area. LPA met with the Director, Carolyn Nakao, to discuss the purpose of today's visit. During today's visit LPA inspected the garden, inspected a classroom that may possibly be added to an on-limit area at a later time, and reviewed teacher qualifications for 2 staff. The garden is surrounded by a fence that is at least 4 feet high. The garden will be used as an on-limit area effective today 10/08/2024.

Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Carolyn Nakao.
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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