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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070200762
Report Date: 06/15/2021
Date Signed: 06/15/2021 10:12:03 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:SAINT STEPHEN'S PRESCHOOLFACILITY NUMBER:
070200762
ADMINISTRATOR:TRACIE NELSONFACILITY TYPE:
850
ADDRESS:66 SAINT STEPHEN'S DRIVETELEPHONE:
(925) 254-3770
CITY:ORINDASTATE: CAZIP CODE:
94563
CAPACITY:41CENSUS: 32DATE:
06/15/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tracie NelsonTIME COMPLETED:
10:30 AM
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On 6/15/21 at 9:00am, Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit conducted a case management pre-licensing unannounced inspection for this center. LPAs met with the director, Tracie Nelson. 9 staff and 32 children were present on the facility today. The center submitted an application for change of capacity from 41 preschoolers to 48 preschoolers. The center is operating on the site of St. Stephen's Episcopal Church, and the hours of operation are Monday thru Friday 9:00am-2:00pm. A tour of the facility was completed to conduct a health and safety inspection. Per director there has been no changes to the outdoor play area and indoor spaces since the last case management inspection 9/2/2020. The the total measurements are as follows:

INDOORS: 2395.21 square feet= 68 children
OUTDOORS: 5436.29 square feet= 72 children
A fire clearance, with a total capacity of 48, was received from the Moraga-Orinda Fire Department.

LPAs observed that the classrooms has sufficient lighting and appears to be clean. LPAs observed an ample supply of age appropriate activities, equipment and furniture. The facility has a total of 7 sinks and 6 toilets for children to use. The facility has a fully charged 3A40BC fire extinguishers, working combination smoke/carbon monoxide detector, and first aid supplies. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children.

All requirements have been met and the center is approved for a capacity of 48 preschoolers effective today 6/15/21. This report will remain on file for 3 years. There are no deficiencies being cited. A copy of this report, appeal rights, and notice of site visit were provided to the Director.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2021
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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