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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408961
Report Date: 06/29/2023
Date Signed: 06/29/2023 11:59:35 AM

Document Has Been Signed on 06/29/2023 11:59 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:LAMORINDA MONTESSORI LLCFACILITY NUMBER:
073408961
ADMINISTRATOR:ANTONIO BETTSFACILITY TYPE:
830
ADDRESS:350 RHEEM BLVDTELEPHONE:
(925) 377-0407
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY: 57TOTAL ENROLLED CHILDREN: 57CENSUS: 7DATE:
06/29/2023
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Antonio BettsTIME COMPLETED:
12:15 PM
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On 6/29/23 Licensing Program Analyst (LPA), Melissa Guirit arrived at the facility to conduct a case management inspection to add the toddler play yard to the infant license. Present for today's inspection were three infants four toddlers and six staff The toddler play yard that is now finished will be added as part of the outdoor play yard. The total measurements are as follows:

OUTDOOR: 2,152 sq ft = 29 children

There are a total of 4 play yards that are fully fenced. A waiver will be needed to ensure that no more than 29 children are on the play yard at any given time and that infants and toddlers will not be commingled.

There are no deficiencies cited during today's visit. Copy of report was given and discussed with licensee, Antonio Betts. Notice of Site Visit was provided to licensee.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
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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