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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420980
Report Date: 02/09/2022
Date Signed: 02/09/2022 01:36:55 PM

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:VIA NOVA CHILDREN'S SCHOOLFACILITY NUMBER:
013420980
ADMINISTRATOR:CIORIA, FRANCAFACILITY TYPE:
850
ADDRESS:3032 MARTIN LUTHER KING JR WAYTELEPHONE:
(510) 848-6682
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY:45CENSUS: DATE:
02/09/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Franca CioriaTIME COMPLETED:
01:55 PM
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An announced visit was conducted today by Licensing Program Analysts (LPAs), Melissa Domantay and Melissa Guirit. LPAs met with Director Franca Cioria to measure main play yard and new side play yard. All previous measurements indoors remain the same. There are 3 toilets and 3 sinks available for children's use.

Indoor measurements: 1655.029 square feet equals to 45 children.
New outdoor measurements: 3436.04 square feet equals to 45 children.

An exit interview was conducted, and a copy of the report was provided to Director Franca Cioria.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
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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