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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073402302
Report Date: 10/25/2023
Date Signed: 10/25/2023 05:46:19 PM

Document Has Been Signed on 10/25/2023 05:46 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:ANGELS MONTESSORI PRESCHOOL - CONCORDFACILITY NUMBER:
073402302
ADMINISTRATOR:KARAMPOUR, ANGELFACILITY TYPE:
850
ADDRESS:1566 BAILEY ROADTELEPHONE:
(925) 686-5621
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY: 49TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
10/25/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Maryam KarampourTIME COMPLETED:
05:55 PM
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On 10/25/23 at 4:35pm, Licensing Program Manager (LPM) Loretta Dyson arrived at the center for an unannounced plan of correction inspection. LPM met with the director, Maryam Karampour. There were 5 children and one Behavioral Technician also present.

LPM conducted a tour of all indoor and outdoor areas that are accessible to, and used by, children to conduct a health and safety inspection. During today's inspection LPM observed all areas that are accessible to children, to be clean and free of debris. LPM did not observe any trash, or insects inside of the facility. LPM did not observe any hazardous items accessible to children in care. LPM did not observe any equipment or furniture in disrepair. LPM verified that everything required to be completed for the plan of correction have been done. A Letter of Deficiencies Citations Cleared was provided as proof of the correction being completed.

There are no deficiencies being cited today. An exit interview was conducted with the director. A Notice of Site Visit was provided and the director was reminded to have it posted for 30 days. Appeal rights were provided.
SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
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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