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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422415
Report Date: 05/31/2019
Date Signed: 05/31/2019 11:27:47 AM

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:PRIDE IN LEARNING MONTESSORI SCHOOLFACILITY NUMBER:
013422415
ADMINISTRATOR:LEON, DARA & LAMB, AMBERFACILITY TYPE:
830
ADDRESS:1330 LAKESHORE AVE.TELEPHONE:
(510) 859-8730
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:16CENSUS: 13DATE:
05/31/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Dara LeonTIME COMPLETED:
12:00 PM
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Licensing Program Analyst Caroline Colson met with Dara Leon for an unannounced case management inspection at 9:15 AM. There are 13 children and four (4) staff members including the director. The purpose of this inspection is to ensure that all deficiencies cited during the random annual on April 18, 2019 have been cleared. All deficiencies have been cleared.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019
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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