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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408897
Report Date: 07/12/2023
Date Signed: 07/12/2023 10:15:16 AM

Document Has Been Signed on 07/12/2023 10:15 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:FOUNTAINHEAD MONTESSORI SCHOOL-PLEASANT HILLFACILITY NUMBER:
073408897
ADMINISTRATOR:RIZVI, SUMAIRAFACILITY TYPE:
850
ADDRESS:1715 OAK PARK BOULEVARDTELEPHONE:
(925) 967-2655
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 99TOTAL ENROLLED CHILDREN: 108CENSUS: 72DATE:
07/12/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sumaira Rizvi/Sarah CabalesTIME COMPLETED:
10:45 AM
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On 07/12/2023 at 9:00AM Licensing Program Analysts (LPAs), A. Curry and S. Blue conducted an announced case management inspection to deliver the findings for a complaint the Department received for the Fountainhead Montessori School Orinda Campus location. The Orinda campus location is now permanently closed and the director, Sarah Cabales, is currently employed at the Pleasant Hill location. LPAs met with Sarah Cabales and Sumaira Rizvi to explain the purpose of today's visit. No deficiencies are being cited at this facility.

Exit interview conducted, appeal rights were given, and report was reviewed with the director Sumaira Rizvi..
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2023
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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