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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407426
Report Date: 04/05/2023
Date Signed: 04/05/2023 12:47:37 PM


Document Has Been Signed on 04/05/2023 12:47 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:REDWOODS INTERNATIONALE MONTESSORI, THEFACILITY NUMBER:
073407426
ADMINISTRATOR:LILES, ANNAGIFACILITY TYPE:
850
ADDRESS:2400 OLD CROW CANYON RDTELEPHONE:
(925) 743-0800
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:60CENSUS: 0DATE:
04/05/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Evelyn DiazTIME COMPLETED:
12:55 PM
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On April 5, 2023 at 12:00pm, Licensing Program Analyst (LPA) Julia Placencia arrived to conduct a case management inspection. LPA met with site supervisors Evelyn Diaz and Mariela Gonzalez Arrendondo. There were no children present due to spring break.

The purpose of today's visit was to discuss director's qualification documents.

No deficiencies were cited.

Exit interview conducted and copy of report provided. A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2023
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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