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 | Licensing Program Analyst (LPA) Mel Matos met with Fatemeh Behzadpour, Director, for an unannounced case management inspection. Purpose of today's inspection: discuss facility name change and documents required to be submitted to the Department.
LPA advised Director that the following documents need to be submitted to update the Facility name change from Saba Academy to Rise Academy:
1) Updated Board Resolution.
2) Updated Application for a Child Care Center License (LIC 200A)
3) Updated Designation of Facility Responsibility (LIC 308)
4) Updated Administration Organization (LIC 309)
5) Updated Personnel Report (LIC 500)
6) Updated Emergency Disaster Plan (LIC 610)
6) Updated Admission Agreement
7) Updated Parent Handbook
Copies of Department LIC forms & a sample board resolution were provided to Director during today's inspection. Director states that she will notify LPA once all items noted above are been completed and ready to submit.
Exit interview conducted and report was reviewed with the Director, Fatemeh Behzadpour. No deficiencies issued during today's inspection.
A notice of site visit was given and must remain posted for 30 days. |