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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070207368
Report Date: 11/28/2022
Date Signed: 11/28/2022 04:12:10 PM


Document Has Been Signed on 11/28/2022 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, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:MORAGA VALLEY PRESBYTERIAN CHURCH NURTURYFACILITY NUMBER:
070207368
ADMINISTRATOR:CAROLYN NAKAOFACILITY TYPE:
850
ADDRESS:10 MORAGA VALLEY LANETELEPHONE:
(925) 376-4800
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY:150CENSUS: DATE:
11/28/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:02 PM
MET WITH:Carolyn Nakao and Nat WeberTIME COMPLETED:
02:06 PM
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On November 28, 2022 Licensing Program Manager (LPM) Mayla Mendoza and Licensing Program Analyst (LPA) Indira Loza met with Director Carolyn Nakao and Administrator Nat Weber for an informal meeting at the Oakland Child Care Regional Office via Zoom. The purpose of the meeting was to discuss lack of supervision, where a child was left unsupervised by a qualified preschool staff.

The incident was reported to Community Care Licensing (CCL) on September 21, 2022.

The Director held an all staff meeting regarding Supervision on October 17, 2022. The meeting consisted watching the "Supervising Children in Child Care Centers" video, thoroughly discussing the components, and filling out worksheets. The Director also had the staff identify weak spots in their operation and coming up with suggestions on strengthening the weak areas.

Director Nakao provided proof of completing Lack of Supervising training with staff on November 2, 2022.

Exit interview conducted and report was reviewed with the Director Nakao.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2022
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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