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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070210604
Report Date: 09/14/2022
Date Signed: 09/14/2022 01:42:53 PM


Document Has Been Signed on 09/14/2022 01:42 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:SAINT JOHN PRESCHOOLFACILITY NUMBER:
070210604
ADMINISTRATOR:MARIA D. RIOSFACILITY TYPE:
850
ADDRESS:501 MORAGA WAYTELEPHONE:
(925) 254-4470
CITY:ORINDASTATE: CAZIP CODE:
94563
CAPACITY:48CENSUS: 39DATE:
09/14/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Mario RiosTIME COMPLETED:
02:00 PM
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On 09/14/22, Licensing Program Analysts (LPAs), Melissa Guirit and Melissa Domantay met with Director, Maria Rios for measuring the temporary outdoor play area. The new facility outdoor play area was toured and new measurements are as follows:

OUTDOOR PLAY AREA: 3,510.50 = 47 children

Per LPM, a waiver will not be needed since the classes do not all go out at the same time, as well as, the outdoor play area only being temporary until the construction is done.

Outdoor play area will be made part of the license and is ready to use when the facility is ready. Exit interview conducted with Director, Mario Rios.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2022
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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