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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010210068
Report Date: 05/22/2024
Date Signed: 05/22/2024 05:05:20 PM


Document Has Been Signed on 05/22/2024 05:05 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:DUCK'S NEST - BERKELEYFACILITY NUMBER:
010210068
ADMINISTRATOR:SINIAN KERAMATIFACILITY TYPE:
850
ADDRESS:1411 - 4TH STREETTELEPHONE:
(510) 527-2331
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:91CENSUS: 86DATE:
05/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Sinian KeramatiTIME COMPLETED:
05:15 PM
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On May 22, 2024, at 2:40pm, Licensing Program Analyst (LPA) Indira Loza met with Director Sinian Kiramati and Operations Director Melanie Trainor for an unannounced Annual/Random inspection. The preschool center was inspected for a health and safety check. Present during the inspection were 86 preschoolers and 16 fingerprint cleared staff members. The teacher/child ratio was being met today. This center operates Monday through Friday 8am to 5:30pm.

Due to time constraints the annual inspection will be continued at a later date.

There were no deficiencies cited during today's visit.

Exit interview conducted.
Report and Appeal Rights provided to Operations Director Melanie Trainor.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/22/2024
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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