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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408952
Report Date: 04/26/2023
Date Signed: 04/26/2023 01:23:28 PM

Document Has Been Signed on 04/26/2023 01:23 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:KIDS FIRST ACADEMYFACILITY NUMBER:
073408952
ADMINISTRATOR:AIMEE KRISTINA G. CARRILLOFACILITY TYPE:
840
ADDRESS:3764 CLAYTON RDTELEPHONE:
(925) 323-1737
CITY:PITTSBURGSTATE: CAZIP CODE:
94521
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
04/26/2023
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kristina CarilloTIME COMPLETED:
11:30 AM
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On 4/26/23, Licensing Program Analyst (LPA), Melissa Guirit conducted a follow-up inspection to finalize the areas that will be used by the school-age and preschool components. LPA met with applicant, Kristina Carillo. The ground level entry way will be used in the morning for drop-off for the preschool component. Per applicant, the lower level entry area, play yard, 2nd level dining area, and 5th level classroom will be utilized by school age children during the hours of 1:00 PM - 6:00 PM. The 2nd level bathroom is a private bathroom for school age children to utilize. This will provide a capacity of 15 school age children. Applicant understands that children cannot commingle at any time during facility hours. Applicant has provided a schedule for when each component will utilize each area.

A school age license for a capacity of 15 children will be granted today, 4/26/23. There are no deficiencies being cited today. Exit interview conducted with applicant, Kristina Carrillo.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023
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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