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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408896
Report Date: 10/29/2024
Date Signed: 10/29/2024 10:28:49 AM

Document Has Been Signed on 10/29/2024 10:28 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:AUTUMN CREEK LEARNING CENTERFACILITY NUMBER:
073408896
ADMINISTRATOR/
DIRECTOR:		BHARGAVA, ASMITA S.FACILITY TYPE:
840
ADDRESS:14 OSBORN WAYTELEPHONE:
(925) 743-4187
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
10/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Asmita BhargavaTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Cherie Acosta and Melissa Domantay conducted an unannounced case management visit. LPAs met with Asmita Bhargava.

Ms Bhargava was planning to make changes to the Grizzly Bear classroom by using an accordion door to divide the classroom with the intent of using half of the classroom for school age children and half of the classroom for preschool children. LPA Domantay measured the classroom as requested. Based on the measurements, Ms. Bhargava decided not to make changes to the classroom. The entire Grizzly Bears classroom remains licensed as the school age classroom which is also used for preschool children when school age children are not present.

Ms. Bhargava will provided an updated application and facility sketch..

Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Asmita Bhargava.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2024
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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