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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408259
Report Date: 03/30/2023
Date Signed: 03/30/2023 11:02:22 AM

Document Has Been Signed on 03/30/2023 11:02 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: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: 3DATE:
03/30/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:42 AM
MET WITH:Silvia AkterTIME COMPLETED:
11:12 AM
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Licensing Program Analyst Lisa Dyer met with Director Silvia Akter for an unannounced Plan of Correction inspection to review items previously cited. Director, 1 teacher, and 3 infants were present.

During a previous inspection, facility was cited for proper qualifications. Licensee received an extension for additional time to obtain information. Citation is cleared today. See cleared POC forms dated 3/30/23.

Today no deficiencies were cited. Exit interview conducted. Licensee was provided a copy of their appeal rights. This report must be kept available for public review for 3 years, and notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023
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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