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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408895
Report Date: 07/11/2024
Date Signed: 07/11/2024 01:22:20 PM

Document Has Been Signed on 07/11/2024 01:22 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:AUTUMN CREEK LEARNING CENTERFACILITY NUMBER:
073408895
ADMINISTRATOR/
DIRECTOR:
BHARGAVA, ASMITA S.FACILITY TYPE:
850
ADDRESS:14 OSBORN WAYTELEPHONE:
(925) 743-4187
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY: 80TOTAL ENROLLED CHILDREN: 96CENSUS: 104DATE:
07/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Asmita BhargavaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On July 11, 2024, Licensing Program Analyst (LPA) Dealia Frison and Cherie Acosta conducted an unannounced case management in regards to an unusual incident reported to the Oakland Regional Office on June 21, 2024. The LPA's met with Owner/Director Asmita Bhargava, Assistant Director Brogan Mcdermott.

LPA interviewed Director and Teachers regarding the incident that occurred. A copy of children's roster, and the personal report were obtained. LPA's did a Health and Safety tour of the Center.

During today's visit LPAs discussed the facilities licensed capacity with owner/director Asmita Bhargava. Facility is currently licensed to care for a maximum of 80 preschool children and 30 school aged children for a total of 110 children. There are 104 preschool children present today. An office meeting will be scheduled with owner/director Asmita Bhargava to discuss the licensed capacity.

No deficiencies cited during today's visit. Exit interview conducted with Asmita Bhargava

A copy of the report and appeal rights provided to Director.
Notice of Site Visit provided and must be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Dealia Frison
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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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