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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408292
Report Date: 03/24/2023
Date Signed: 03/24/2023 03:05:10 PM

Document Has Been Signed on 03/24/2023 03:05 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:LAMORINDA MONTESSORI LLCFACILITY NUMBER:
073408292
ADMINISTRATOR:MICHELLE OLIVARES-MANNINGFACILITY TYPE:
830
ADDRESS:1450 MORAGA RD.TELEPHONE:
(925) 377-0407
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY: 12TOTAL ENROLLED CHILDREN: 52CENSUS: 44DATE:
03/24/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Antionio BettsTIME COMPLETED:
03:30 PM
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On 03/24/2023 Licensing Program Analyst (LPAs) A. Curry and C. Watts conducted an unannounced visit to follow up on a plan of correction that was not cleared. LPA met with the Site Administrator, Antonio Betts, to explain the purpose of today's inspection. The facility was previously cited for operating over capacity. As part of the plan of correction, the facility was instructed to submit a Change of Capacity application by 03/15/2023. The Change of Capacity application has still not been received by the Oakland office. The Site administrator indicated he mailed the application last week, but was unable to provide a certified mail receipt during today's visit. Civil penalties will be assessed today. Civil penalties will continue to accrue $100 per day until application is received.

Exit interview conducted, appeal rights were given, and report was reviewed with site administrator Antonio Betts.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2023
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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