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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213005248
Report Date: 03/10/2020
Date Signed: 03/10/2020 03:09:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MARIN DAY SCHOOLS - HILLSIDE CAMPUS - PRESCHOOLFACILITY NUMBER:
213005248
ADMINISTRATOR:VANESSA FRANCOFACILITY TYPE:
850
ADDRESS:80 LOMITA DRIVETELEPHONE:
(415) 381-3120
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY:60CENSUS: 28DATE:
03/10/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director, Vanessa FrancoTIME COMPLETED:
03:15 PM
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On March 10th, 2020, at 2:30pm Licensing Program Analyst (LPA) Kassandra Medrano met with director, Vanessa Franco. The purpose of the visit was discussed, to inspect "Room A" that was strictly used by after school program. On March 2nd, 2020 Marin Fire inspected room and gave fire clearance for a day care facility. This room does not change the capacity stated on license. "Room A" has one bathroom, one sink, and staff will continue to use the restroom in office. Hours of use for the room are: 8:45am-1:30pm or when the after school program is not using the room. Due to after school program operating on Mill Valley Public School Schedule, and will be closed during summers and some holidays. Facility is aware that no co-mingling of children is allowed. There may not be more than 36 children within the room at one time.

As of today,"Room A" has now been licensed and approved for facility use.



Report was discussed with director, and notice of site visit was posted
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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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