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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422061
Report Date: 05/08/2024
Date Signed: 05/08/2024 04:12:03 PM

Document Has Been Signed on 05/08/2024 04:12 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:PRIMROSE SCHOOL OF LIVERMOREFACILITY NUMBER:
013422061
ADMINISTRATOR/
DIRECTOR:
GUPTA, SHUBRAFACILITY TYPE:
840
ADDRESS:2901 LAS POSITAS RDTELEPHONE:
(925) 215-7372
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Elora BelgumTIME VISIT/
INSPECTION COMPLETED:
04:11 PM
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On 5/8/2024 Licensing Program Analyst (LPA) Morgan Pringle met with interim Director Elora Belgum for an Announced Case Management Visit. The facility is requesting the licensee for the school age program changed from inactive to active. The license has been inactive since 10/27/2023. The school age program operates out of the Explorers room (first classroom on the right side of the hallway). The room is currently operating under the preschool license. Present during the inspection were nineteen (19) preschool age children and two (2) additional staff. The facility holds a license for preschool (013422060) and infants (013422062) as well. The facility will be operating from 7:00am – 6:00pm, Monday through Friday.

The facility has ample age-appropriate materials in the classroom that were observed to be clean and in good condition. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. There are two (2) children’s bathrooms that ensure privacy. All children have access to clean drinking water in and outside of the classroom. There are working carbon monoxide detectors, smoke detectors, and fully charged fire extinguishers on site.

The play yard is clean and free from hazards with plenty of shade for the children. The school age children will be using the right side of the play area that has been fenced off from the preschool play area. LPA did not observe any harmful or unattended bodies of water in or around the facility.




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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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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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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: PRIMROSE SCHOOL OF LIVERMORE
FACILITY NUMBER: 013422061
VISIT DATE: 05/08/2024
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Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Facility is approved to be taken off of Inactive Status effective as of today's date, 5/8/2024.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with interim Director Elora Belgum















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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC809 (FAS) - (06/04)
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