<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407426
Report Date: 05/13/2022
Date Signed: 05/13/2022 02:59:25 PM


Document Has Been Signed on 05/13/2022 02:59 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 STE 1102
OAKLAND, CA 94612



FACILITY NAME:REDWOODS INTERNATIONALE MONTESSORI, THEFACILITY NUMBER:
073407426
ADMINISTRATOR:TABLADA, MARIACORAZONFACILITY TYPE:
850
ADDRESS:2400 OLD CROW CANYON RDTELEPHONE:
(925) 743-0800
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:60CENSUS: 8DATE:
05/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Cherry NazalTIME COMPLETED:
03:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On May 13, 2022 at 1:30pm, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced for a case management inspection. LPA met with licensee Annagi Liles and teacher Cherry Nazal. Present were eight children and an additional two staff members.

The purpose of this visit was to follow up on an unusual incident. LPA conducted interviews and reviewed documents. LPA also obtained documents for new director Rani Tanjuakio.

No deficiencies were cited today.

Exit interview conducted and copy of report provided to Cherry Nazal.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:
DATE: 05/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1