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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408296
Report Date: 04/27/2022
Date Signed: 04/27/2022 11:30:25 AM

Document Has Been Signed on 04/27/2022 11:30 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:TULIP CHILD CARE LLC/PINOLE MONTESSORIFACILITY NUMBER:
073408296
ADMINISTRATOR:MADDOX, HIDYFACILITY TYPE:
850
ADDRESS:2612 APPIAN WAYTELEPHONE:
(510) 222-9688
CITY:PINOLESTATE: CAZIP CODE:
94564
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 41DATE:
04/27/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:19 AM
MET WITH:Angela LopesTIME COMPLETED:
11:45 AM
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On Wednesday, April 27, 2022, Licensing Program Analyst (LPA) Caroline Colson met with Angela Lopes, Center Director for an unannounced plan of correction inspection at 10:19 AM. The entire facility was toured. The purpose of this inspection is to ensure that the facility is maintaining appropriate Teacher-Child ratios in all classrooms. Deficiency was cleared.

There were no deficiencies cited during this inspection. Appeal Rights were given. Exit interview was conducted. This report must be made available for 3 years.


SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2022
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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