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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408895
Report Date: 06/09/2023
Date Signed: 06/09/2023 03:34:30 PM

Document Has Been Signed on 06/09/2023 03:34 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:AUTUMN CREEK LEARNING CENTERFACILITY NUMBER:
073408895
ADMINISTRATOR:BHARGAVA, ASMITA S.FACILITY TYPE:
850
ADDRESS:14 OSBORN WAYTELEPHONE:
(925) 743-4187
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 86DATE:
06/09/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Asmita BhargavaTIME COMPLETED:
03:48 PM
NARRATIVE
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On Friday, June 9, 2023 at 9:48 AM, Licensing Program Analyst (LPA) Caroline Colson met with Asmita Bhargava, Center Director, for an unannounced case management inspection. There are 86 preschool children and 20 staff members including the director. LPA Colson discussed the process to make a request to use the school age classroom when not in use for additional preschool children during the summer.

There were no deficiencies cited during this inspection.

An exit interview was conducted. Appeal rights were given and discussed. A Site Notice was posted. This report must be available for public review for 3 years.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2023
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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