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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 173006902
Report Date: 07/31/2023
Date Signed: 07/31/2023 10:26:09 AM


Document Has Been Signed on 07/31/2023 10:26 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:LAKEPORT EARLY CONNECTION - P/SFACILITY NUMBER:
173006902
ADMINISTRATOR:MANSELL, KATRINAFACILITY TYPE:
850
ADDRESS:150 LANGE STREETTELEPHONE:
(707) 994-7908
CITY:LAKEPORTSTATE: CAZIP CODE:
95453
CAPACITY:24CENSUS: 0DATE:
07/31/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Katie MansellTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Site Supervisor Katie Mansell to conduct a capacity determination of the additional classroom which is being added to the preschool program. The facility will have two classrooms which are attached. Class one and two will now be used for this program. The program has requested a capacity of 48+ children on the application which was received on July 21, 2023.

There are three toilets and six sinks available for the children who attend the program. There is sufficient indoor and outdoor square footage for 47 children however a maximum capacity increase of 45 will be allowed due to the number of toilets which requires a toilet for every 15 children.

The outdoor area is having a new play structure installed. There is adequate shade for the children when playing outdoors.

The fire clearance has not be performed yet. Upon receipt of the approved for clearance, the capacity increase will be approved provided the fire clearance is approved for at least 45 children.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE: 07/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/31/2023
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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