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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270710406
Report Date: 12/05/2023
Date Signed: 12/05/2023 12:05:35 PM


Document Has Been Signed on 12/05/2023 12:05 PM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:SHERWOOD STATE / MIGRANT PRESCHOOL CHILD CAREFACILITY NUMBER:
270710406
ADMINISTRATOR:GONZALEZ, ERNESTOFACILITY TYPE:
850
ADDRESS:110 SOUTH WOOD STREETTELEPHONE:
(831) 784-5402
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:44CENSUS: 22DATE:
12/05/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:Crystal Burgos & Lorena CardenasTIME COMPLETED:
12:05 PM
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Licensing Program Analyst (LPA) Elizabeth Larios conducted unannounced Case Management inspection and met with Teacher, Lorena Cardenas & Preschool Coach, Crystal Burgos. Purpose of today's inspection was to discuss an unusual incident that Preschool Program Coordinator self reported to the Department on 10/26/2023. LPA observed third teachers, one Assistant teacher, and twenty two paraprofessionals and preschool children in classroom K-1 and K-2.

LPA interview staff and child during today's inspection. Further investigation is required and shall be continued on a later date. Exit interview was conducted with teacher Lorena. No deficiencies issued during today's inspection.

Notice of site visit was issued and must remain posted for 30 day.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2023
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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