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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405642
Report Date: 06/01/2023
Date Signed: 06/01/2023 10:03:29 AM


Document Has Been Signed on 06/01/2023 10:03 AM - 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:CORNERSTONE CHRISTIAN PRESCHOOLFACILITY NUMBER:
073405642
ADMINISTRATOR:JEFFUS, DENISEFACILITY TYPE:
850
ADDRESS:2800 SUNSET LANETELEPHONE:
(925) 754-8058
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:60CENSUS: 25DATE:
06/01/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Denise JeffusTIME COMPLETED:
10:10 AM
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On 06/01/2023 at 8:50 AM, Licensing Program Analyst (LPA) Christina Watts conducted a Case Management Inspection at Cornerstone Christian Preschool. LPA met with Director, Denise Jeffus and Principal Logan Heyer. There are 25 preschool children in care with 5 staff and 58 children enrolled.

Facility is planning to move to the Cornerstone Christian School campus, located at 1745 E 18th St, Antioch, CA 94509. Director and Principal of school, Logan Heyer, requested for LPA to inspect facility and inform Director and Principal on the application process.

Facility will start process of transfer of location with licensing and submit the appropriate documentation.

During this inspection, no violations were observed.

Exit interview conducted and report was reviewed with the Director, Denise Jeffus. A notice of site visit was given and must remain posted for 30 consecutive days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina WattsTELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:
DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2023
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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