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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408961
Report Date: 10/06/2023
Date Signed: 10/06/2023 01:51:43 PM

Document Has Been Signed on 10/06/2023 01:51 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: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: 28CENSUS: 25DATE:
10/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Antonio BettsTIME COMPLETED:
02:00 PM
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On 10/06/2023 at 12:15PM Licensing Program Analyst (LPA), A. Curry conducted an unannounced case management inspection. LPA met with the Director, Antonio Betts, to explain the purpose of today's visit. LPA toured the facility, made observations, and reviewed files. No deficiencies are being cited today.


Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Antonio Betts.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023
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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