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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070200593
Report Date: 03/20/2024
Date Signed: 03/20/2024 10:40:21 AM


Document Has Been Signed on 03/20/2024 10:40 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:TOPS - THE ORINDA PRESCHOOL(PARENT COOP)FACILITY NUMBER:
070200593
ADMINISTRATOR:KRISTIN BURCHAMFACILITY TYPE:
850
ADDRESS:10 IRWIN WAYTELEPHONE:
(925) 254-2551
CITY:ORINDASTATE: CAZIP CODE:
94563
CAPACITY:75CENSUS: 50DATE:
03/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Kristin ArmaniniTIME COMPLETED:
10:45 AM
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On 03/20/2024 at 9:15 AM Licensing Program Analyst (LPA), A. Curry conducted an announced case management inspection to add the Fellowship Hall as an on-limit area. LPA toured the facility and conducted a health and safety inspection of the Fellowship Hall. The Fellowship Hall can be assessed by the two main classrooms. There were no health and/or safety concerns. The Fellowship Hall will be an on-limit area for children in care effective today 03/20/2024.


Exit interview conducted, appeal rights were given, and report was reviewed with Director, Kristin Armanini.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2024
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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