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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408292
Report Date: 03/14/2023
Date Signed: 03/14/2023 01:12:04 PM


Document Has Been Signed on 03/14/2023 01:12 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:12CENSUS: 43DATE:
03/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Antonio BettsTIME COMPLETED:
02:00 PM
NARRATIVE
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On 03/14/2023 at 9:30AM Licensing Program Analyst (LPA) A. Curry arrived at the facility to open a 10-day complaint for the preschool component. LPA met with site administrator Antonio Betts to explain the purpose of today's visit. While at the facility the site administrator indicated the preschool program relocated to another facility and only the infant program is operating at 1450 Moraga Rd. LPA observed 43 infants. The facility is not operating within the capacity of 12, which is specified on the license issued by the Department (See 809D). Type A deficiency is being cited today.


LPA Ashley Curry informed facility representative Antonio Betts that this report dated 03/14/2023 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Ashley Curry informed the facility representative Antonio Betts to provide a copy of this licensing report dated 03/14/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted, appeal rights were given, and a copy of this report was reviewed with site administrator Antonio Betts.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2023
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 2


Document Has Been Signed on 03/14/2023 01:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: LAMORINDA MONTESSORI LLC
FACILITY NUMBER: 073408292

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/15/2023
Section Cited

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101179 Capacity Determination (a) A license shall be issued for a specific capacity, which shall be the maximum number of children that can be cared for at any given time. The Department may issue a license for fewer children than requested.

This requirement is not met as evidence by:
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The site administrator indicated he mailed an increase of capacity application in November 2022 but did not hear back from Licensing. The site administrator also stated the check submitted with the application was not cashed.
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The facility did not operate within the capacity of 12, which is specified on the license issued by the Department, which poses an immediate risk to the health, safety, and personal rights to the children in care. LPA observed 43 infants during today's visit.
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By 03/15/2023 the facility will resubmit the increase of capacity application and pay required fees in person or will provide a copy of certified mail receipt to LPA.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2023
LIC809 (FAS) - (06/04)
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