<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408910
Report Date: 11/22/2022
Date Signed: 11/22/2022 12:26:24 PM

Document Has Been Signed on 11/22/2022 12:26 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:CENTER OF GRAVITY, INC.FACILITY NUMBER:
073408910
ADMINISTRATOR:BRINSON, MONIQUEFACILITY TYPE:
850
ADDRESS:399 GREGORY LANETELEPHONE:
(415) 307-7555
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 33DATE:
11/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Utami SetiyadiTIME COMPLETED:
12:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/22/22, at 11:50AM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced on a case management visit and met with Director Utami Setiyadi. Present in care were 33 preschoolers and six additional staff members.

During the visit LPA Fernandes did a walk through of the center and conducted interviews.


Exit interview conducted
Report, notice of site visit and appeal rights provided
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1