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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408259
Report Date: 02/21/2023
Date Signed: 02/21/2023 02:30:38 PM

Document Has Been Signed on 02/21/2023 02:30 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CREATIVE MONTESSORI PRESCHOOLFACILITY NUMBER:
073408259
ADMINISTRATOR:AKTER, SILVIAFACILITY TYPE:
830
ADDRESS:1350 MORAGA WAYTELEPHONE:
(925) 377-8314
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
02/21/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Silvia AkterTIME COMPLETED:
11:50 PM
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On Tuesday, February 21, 2023 at 11:30 AM, Licensing Program Manager l, Mayla Mendoza and Licensing Program Analyst, Caroline Colson met with Silvia Akter, Center Director for an Informal Conference. The purpose for this conference is to discuss the discipline policy at the facility. Licensee has included the discipline policy that she submitted during her application process. All parents were given a copy of the discipline policy to read and sign for the children's files. Center Director had a meeting with all staff and will have each staff member acknowledge that they have read and understand the new discipline policy.

Original Signatures are on file.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2023
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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