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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405620
Report Date: 09/29/2022
Date Signed: 09/29/2022 04:55:52 PM


Document Has Been Signed on 09/29/2022 04:55 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:KIDZ-PLANET, INCFACILITY NUMBER:
073405620
ADMINISTRATOR:IRINA GRINSHPANFACILITY TYPE:
850
ADDRESS:2245 MORELLO AVE. STE. CTELEPHONE:
(925) 457-9411
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:99CENSUS: 75DATE:
09/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Irina GrinshpanTIME COMPLETED:
05:05 PM
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On 9/29/22 at 1:15PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived to conduct a required annual inspection. LPA met with Director Irina Grinspan and observed 10 finger print cleared staff members and 75 preschoolers in care.

LPA did a walk through of the center and do to time restrictions the annual inspection will be continued at a later date.




Exit interview conducted with Director
Report and Appeal Rights provided
Notice of site visit provided
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:
DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2022
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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