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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 233006510
Report Date: 08/22/2024
Date Signed: 08/22/2024 10:57:49 AM


Document Has Been Signed on 08/22/2024 10:57 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:DEEP VALLEY CHRISTIAN SCHOOLFACILITY NUMBER:
233006510
ADMINISTRATOR:KILPATRICK, DASHAFACILITY TYPE:
850
ADDRESS:8555 UVA DRIVETELEPHONE:
(707) 485-8778
CITY:REDWOOD VALLEYSTATE: CAZIP CODE:
95470
CAPACITY:50CENSUS: 0DATE:
08/22/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:33 AM
MET WITH:Dasha KilpatrickTIME COMPLETED:
11:08 AM
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Licensing Program Analysts (LPA) Robert Maciel and Glenn Ouye met with Director, Dasha Kilpatrick to conduct a case management visit to inspect a classroom on the Deep Valley Christian School Campus. The facility is changing use from room 3 to room 4. There are 3 preschool classrooms used by the facility. The application was received by the department on August 8, 2024. An updated fire clearance was approved by the Redwood Valley Fire Department on August 19, 2024. The total combined capacity remains approved for 50 children.

This preschool program operates in classrooms 8,9 and 4.

There is sufficient indoor and outdoor square footage to support the capacity.

There are no changes to the existing building. The new classroom is approved for use effective today, August 22, 2024.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Robert MacielTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024
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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