Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420949
Report Date: 08/12/2019
Date Signed: 08/12/2019 03:31:17 PM

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:RISING STAR MONTESSORI SCHOOLFACILITY NUMBER:
013420949
ADMINISTRATOR:GAVEY, ANN ROSEFACILITY TYPE:
850
ADDRESS:1421 HIGH STREETTELEPHONE:
(510) 865-4536
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY:75CENSUS: 0DATE:
08/12/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Sharon Djafaripour & Ann GaveyTIME COMPLETED:
03:40 PM
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A Case Management Follow-Up was conducted on this date 8/12/19 by Licensing Program Analyst (LPA), Mayla Mendoza and Licensing Program Manager Chandra Charles. LPA and LPM met with Owner Ann Gavey and liason Sharon Djafaripour. The center has submitted an application for an increase in capacity from 75 to 122 children. The center will now be operating in 7 classrooms (Maple, Redwoods, Green Room, Juniper, TK/K, Cedars, Oaks). Hours of operation are from 7am-6pm, Monday through Friday. No children were present today. A health and safety inspection was conducted inside and outside. The following is the total overall measurement:

INDOORS: 4942.354 square feet = 141 children
OUTDOORS: 7462.336 square feet = 99 children

A license for 122 preschool children will be issued effective today 8/12/19.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Mayla MendozaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
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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