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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423736
Report Date: 10/21/2022
Date Signed: 10/21/2022 01:03:48 PM

Document Has Been Signed on 10/21/2022 01:03 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:PLAZITA SCHOOLS INCFACILITY NUMBER:
013423736
ADMINISTRATOR:KRYSTELL GUZMANFACILITY TYPE:
850
ADDRESS:2101 LIVINGSTON STREETTELEPHONE:
(510) 927-5621
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
10/21/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Krystell Guzman and Rocio GuerreroTIME COMPLETED:
12:00 PM
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On 10/21/22, Licensing Program Analysts (LPAs), Melissa Guirit and Melissa Domantay conducted a pre-licensing inspection. Present for this inspection were Owner, Krystell Guzman and Director, Rocio Guerrero. LPAs toured all areas of the facility for a health and safety inspection. No children were present at the time of this inspection. The facility license will remain pending due to the following:

- All classrooms must be fully furnished and ready children use
- Keypad must be installed on side back door, which is used to access the outdoor play area

Current measurements were done by LPAs during today's visit. However, LPAs will return to conduct a continued pre-licensing inspection once all the above are completed. Exit interview conducted with Owner and Director. Notice of Site Visit and appeal rights provided to Owner and Director.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2022
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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