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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212855
Report Date: 05/02/2024
Date Signed: 05/02/2024 02:48:29 PM

Document Has Been Signed on 05/02/2024 02:48 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MORELLO HILLS CHRISTIAN PRESCHOOLFACILITY NUMBER:
070212855
ADMINISTRATOR/
DIRECTOR:		WELLER, MARYFACILITY TYPE:
850
ADDRESS:1000 MORELLO HILLS DRIVETELEPHONE:
(925) 372-7155
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 24DATE:
05/02/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:SAMANTHA GOODMANTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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ON May 2, 2024 Licensing Program Analyst (LPA) Tasha Alexander met with center director Samantha Goodman to discuss a self report unusual incident that occurred on 4/19/24 when a child was playing inside of a small church play house when she got a splinter stuck in her lower back, just above her bottom. Per director, the child's parent took the child to the doctor and had the splinter removed. The child returned to care the next day. The play house was inspected and the rough parts inside of the play house were sanded down to prevent another incident.

There are no deficiencies cited today.
An exit interview was conducted. A notice of site visit was posted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
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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