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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405027
Report Date: 04/09/2024
Date Signed: 04/09/2024 11:34:53 AM

Document Has Been Signed on 04/09/2024 11:34 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:NEIGHBORHOOD SCHOOL AT KENSINGTON ELEMENTARYFACILITY NUMBER:
073405027
ADMINISTRATOR/
DIRECTOR:		CARD, G & NGUYEN, LFACILITY TYPE:
840
ADDRESS:90 HIGHLAND BLVDTELEPHONE:
(510) 526-5871
CITY:KENSINGTONSTATE: CAZIP CODE:
94708
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: DATE:
04/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On April 9, 2024 at 9:05am Licensing Program Analyst (LPA) Indira Loza and Licensing Program Manager (LPM) Mayla Mendoza met with owner Jill Houthton to conduct a Case Management inspection for a Room Change for the after school program. Present during today's visit there were two (2) staff and no children. LPA and LPM toured the areas that were going to be changed.

The School Age Program will be utilizing rooms 11, Multi-Purpose Room, Portable 3 and Portables 1 & 2, when not is use by the Preschool Program. The center was granted a fire clearance on September 2, 2023. The Preschool Program will remain in Portables 1 & 2. Owner is reminded that the School Age and Preschool program are not to commingle.

Exit Interview conducted
Report and Appeal Rights reviewed with Owner Jill Houthton.
A copy of the report and appeal rights were left with the owner Jill Houthton.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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