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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404660
Report Date: 10/16/2023
Date Signed: 10/30/2023 01:58:18 PM


Document Has Been Signed on 10/30/2023 01:58 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:STAY AND PLAY PRESCHOOLFACILITY NUMBER:
073404660
ADMINISTRATOR:LYNETTE TORREZFACILITY TYPE:
850
ADDRESS:771 GRIFFITH LANETELEPHONE:
(925) 516-6940
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:21CENSUS: DATE:
10/16/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Lynette TorrezTIME COMPLETED:
02:36 PM
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Licensing Program Manager (LPM) Sherelle Johnson and Licensing Program Analyst (LPA) Cherie Acosta met with Licensee Lynette Torrez and her Attorney Karen Lynch by use of Microsoft Teams for an informal meeting to discuss an incident where a child was left unsupervised.

During the meeting Ms. Lynch asked about the status of an appeal that was submitted in regards to citation issued on 7/24/23. LPM Johnson agreed to follow up with Regional Manager in regards to the appeal.
LPM Johnson also provided extensive technical assistance and explanation of the departments procedures in regards to complaint investigations and reporting requirements.
Licensee was reminded that no child(ren) shall be left without the supervision of a teacher at any time. Licensee stated the she and her staff have discussed supervision and her staff have received training on supervision.
Licensee was reminded to call Community Care Licensing (CCL) with question or concerns in regards to title 22, regulations.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

Exit interview was conducted and a copy of the report was provided to Lynette Torrez.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2023
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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