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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270710410
Report Date: 09/29/2022
Date Signed: 10/03/2022 10:11:24 AM


Document Has Been Signed on 10/03/2022 10:11 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:NO. MONTEREY CO. UNIFIED SCH. DIST. PRESCHOOLFACILITY NUMBER:
270710410
ADMINISTRATOR:MARGARITA PALACIOSFACILITY TYPE:
850
ADDRESS:17719 PESANTE ROADTELEPHONE:
(831) 663-6129
CITY:PRUNEDALESTATE: CAZIP CODE:
93907
CAPACITY:44CENSUS: 19DATE:
09/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Juanita Vargas TIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Elizabeth Larios conducted a unannounced Required-1 year inspection. LPA met with Teacher Juanita Vargas and explained the nature of today's visit. Teacher Juanita called Kristina Torres Preschool Program Coordinator to inform her of inspection. LPA toured the facility both inside and outside during todays visit. LPA noted that the facility is located on the Prunedale Elementary School campus, in classroom portables #37 and #38. The hours of operation are Monday - Friday, 7:30am - 5:00pm. The preschool operates two sessions in classroom portable #38 (8:00am-11:00am and 11:30am-2:30pm) and classroom portable #37 operates a full session (7:30am-5:00pm). The program is run by the North Monterey County Unified School District. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule.

Lead Teacher understands the conditions, limitations, and capacity specifications of the facility license. Lead Teacher understands that children shall be visually supervised at all times. LPA observed classroom clean and in order. Drinking water is readily available for the children in classrooms via water fountain indoor and outdoor playground area via water dispensers and cups. LPA observed solid waste containers with tight-fitting lids in classrooms. Lead Teacher states that there are no weapons or firearms on the premises.

LPA observed all furniture and equipment is in good condition and safe for the children. The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate. LPA did not observe any bodies of water.

SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: NO. MONTEREY CO. UNIFIED SCH. DIST. PRESCHOOL
FACILITY NUMBER: 270710410
VISIT DATE: 09/29/2022
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No deficiencies cited, exit interview conducted with Teacher Juanita Vargas and a copy of this report was provided.

The annual inspection will be continued on a later date.



A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022
LIC809 (FAS) - (06/04)
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