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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408252
Report Date: 10/06/2023
Date Signed: 10/06/2023 11:46:40 AM


Document Has Been Signed on 10/06/2023 11:46 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:LAMORINDA MONTESSORI LLCFACILITY NUMBER:
073408252
ADMINISTRATOR:OLIVARES-MANNING, MICAELAFACILITY TYPE:
850
ADDRESS:1450 MORAGA ROADTELEPHONE:
(925) 377-0407
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY:70CENSUS: 13DATE:
10/06/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Ivethe Garcia TIME COMPLETED:
12:00 PM
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On 10/06/2023 at 9:30 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced visit to follow up on deficiencies that were previously cited. LPA met with the Acting Director, Ivethe Garcia, to explain the purpose of today's visit. The Administrator, Antonio Betts, arrived during the visit. LPA toured the facility, made observations, and reviewed requested documentation that was needed to clear previous deficiencies. No deficiencies are being cited during today's visit.

Exit interview conducted, appeal rights were given, and report was reviewed with the Administrator, Antonio Betts.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2023
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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