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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
073408895
Report Date:
08/20/2024
Date Signed:
08/20/2024 04:08:34 PM
Document Has Been Signed on
08/20/2024 04:08 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
CCLD Regional Office
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
AUTUMN CREEK LEARNING CENTER
FACILITY NUMBER:
073408895
ADMINISTRATOR/
DIRECTOR:
BHARGAVA, ASMITA S.
FACILITY TYPE:
850
ADDRESS:
14 OSBORN WAY
TELEPHONE:
(925) 743-4187
CITY:
DANVILLE
STATE:
CA
ZIP CODE:
94526
CAPACITY:
80
TOTAL ENROLLED CHILDREN:
80
CENSUS:
DATE:
08/20/2024
TYPE OF VISIT:
Office
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:
Asmita Bhargava and Brogan McDermott
TIME VISIT/
INSPECTION COMPLETED:
04:10 PM
NARRATIVE
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Licensing Program Manager (LPM) Sherelle Johnson and Licensing Program Analyst (LPA) Cherie Acosta met with Owner/Director Asmita Bhargava and Assistant Director Brogan McDermott in the Oakland Regional office for an office meeting.
Owner/Director is requesting to care for an additional 30 preschool children when school age children are not present. Total children in care not to exceed 110 children.
Owner/Director was informed that a waiver will be required to care for the additional 30 preschool aged children. Also discussed was the change of operating hours. Owner/Director shall submit an updated application to reflect the operating hours.
During the meeting the facility floor plan was discussed. Further review of the floor plan is required prior to waiver approval. Owner agrees to submit a waiver request after review of the floor plan is complete. A follow up meeting will be scheduled after review of the preschool and school age floor plan to determine waiver approval.
Exit interview and report reviewed with Asmita Bhargava and Brogan McDermott.
SUPERVISORS NAME
:
Sherelle Johnson
LICENSING EVALUATOR NAME
:
Cherie Acosta
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/20/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/20/2024
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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