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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405621
Report Date: 09/29/2022
Date Signed: 09/29/2022 04:57:06 PM


Document Has Been Signed on 09/29/2022 04:57 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:
073405621
ADMINISTRATOR:GRINSPHAN, IRINAFACILITY TYPE:
830
ADDRESS:2245 MORELLO AVE SUITE CTELEPHONE:
(925) 457-9411
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:46CENSUS: 44DATE:
09/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Irina GrinsphanTIME COMPLETED:
05:00 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 14 finger print cleared staff members and 44 infants 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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