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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408260
Report Date: 07/23/2024
Date Signed: 07/23/2024 09:45:04 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/12/2024 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240612104215
FACILITY NAME:CREATIVE MONTESSORI PRESCHOOLFACILITY NUMBER:
073408260
ADMINISTRATOR:AKTER, SILVIAFACILITY TYPE:
850
ADDRESS:1350 MORAGA WAYTELEPHONE:
(925) 377-8314
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY:23CENSUS: 3DATE:
07/23/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Silvia AkterTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not reporting incidents to authorized representatives
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/23/2024 at 9:00 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced subsequent complaint visit to deliver the finding to the above allegation. LPA met with the Director, Silvia Akter, to explain the purpose of today's visit. LPA previously toured the facility, reviewed incident reports, and conducted interviews with staff and parents. Based on the incident reports and interviews, it was determined that parents were notified of incidents that occurred at the facility. No deficiencies are being cited today.


Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Silvia Akter.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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