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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004507
Report Date: 01/07/2022
Date Signed: 01/07/2022 12:00:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LAKEVIEW MONTESSORIFACILITY NUMBER:
414004507
ADMINISTRATOR:BRAMHE,SHEILAFACILITY TYPE:
840
ADDRESS:31 VISTA AVENUETELEPHONE:
(650) 578-9532
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:30CENSUS: 0DATE:
01/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Sheila Bramhe and Nalinee Mehta TIME COMPLETED:
12:10 PM
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On January 7, 2022, Licensing Program Analyst (LPA) Cowan met with Site Director, Sheila Bramhe and lead teacher Nalinee Mehta to conduct a case management inspection. This inspection was initiated by the facility and is in response to a decrease in capacity application. Purpose of the inspection was explained. Facility is a combination center that operates school age and preschool programs on this site. Facility is decreasing its capacity from 30 to 15 and removing a classroom. The school age program will operate in Room #1 alone. This program operates from Monday to Friday between 12:30 PM to 6:00 PM.

LPA along director and teacher, inspected the classroom for health and safety hazards. LPA observed a working smoke detector, carbon monoxide detector, and fire extinguishers available at the site. Facility has a working telephone on site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility floor is in good repair and free of any hazards. All toilets, hand washing facilities are in working condition with proper sanitation in place.

Facility is approved to operate with a capacity of 15

This report and rights to comment and appeal were discussed with director. This report must be available in the facility for public review. Notice of site inspection was posted. Facility was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April CowanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
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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