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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 230111949
Report Date: 08/21/2019
Date Signed: 08/22/2019 12:13:17 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:UKIAH UNIFIED PRESCHOOL CENTER BILINGUAL PRESCHOOLFACILITY NUMBER:
230111949
ADMINISTRATOR:SANTOS DELOS, JENNIFERFACILITY TYPE:
850
ADDRESS:1100 N. BUSH STREETTELEPHONE:
(707) 468-3304
CITY:UKIAHSTATE: CAZIP CODE:
95482
CAPACITY:22CENSUS: 22DATE:
08/21/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:51 PM
MET WITH:Jennifer De Los Santos, AdministratorTIME COMPLETED:
03:45 PM
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Licensing Program Analyst, Mary Trinh arrived to conduct a case management visit for a capacity increase from 22 children to 24 children within the age range of 3 to 5 years. The Director submitted an application for the capacity increase on August 15, 2019. The Ukiah Fire Department Fire Inspector approved the fire code capacity increase on August 21, 2019 and Community Care Licensing received the approved fire safety inspection from the local fire district.
The facility has a large multi-purpose room for use by the children. The classroom has two toilets and four sinks.
The outdoor play area is fully fenced and larger than the square footage required for the increased capacity. The outdoor play area also has a large shaded area and water fountains for the children.
During today's visit, the facility was operating within the licensed capacity and ratio requirements. The facility was toured. No deficiencies were observed. The increase capacity to 24 preschool children is approved and effective as of August 21, 2019. An updated licensed will be sent to the Administrator. All licensing reports are public information and must be made available upon request.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Mary TrinhTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
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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