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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700529
Report Date: 03/15/2023
Date Signed: 03/15/2023 04:49:26 PM


Document Has Been Signed on 03/15/2023 04:49 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:BRIGHT MINDS ACADEMYFACILITY NUMBER:
015700529
ADMINISTRATOR:AQUINAL, ADEEBAFACILITY TYPE:
850
ADDRESS:3102 CONSTITUTION DRIVETELEPHONE:
(925) 989-0261
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:74CENSUS: 50DATE:
03/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Yon Kyong NoTIME COMPLETED:
05:10 PM
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On March 15, 2023, at approximately 1:10 PM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with Facility Representative, Yon Kyong No and Teacher, Jennifer Cardenas for an Unannounced Case Management-Other inspection to file review/qualifications of staff. Present for the inspection were 50 preschool age children and 11 additional staff members.

LPA obtained copies, LPA reviewed twelve staff files. LPA qualified teachers and obtain copies.

Technical Advisory was given. As a result of today's inspection there was no deficiencies cited today. Appeal Rights were provided. A notice of site visit with provided remain posted for 30 days. Exit interview was conduct with facility representative, Yon Kyong No.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2023
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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