<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274400486
Report Date: 07/11/2019
Date Signed: 07/11/2019 12:27:30 PM

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:VISTA VERDE PRESCHOOL/H.SFACILITY NUMBER:
274400486
ADMINISTRATOR:JUANITA GONZALEZFACILITY TYPE:
850
ADDRESS:1199 ELM AVENUETELEPHONE:
(831) 674-9378
CITY:GREENFIELDSTATE: CAZIP CODE:
93927
CAPACITY:20CENSUS: 0DATE:
07/11/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Dr. Limary GutierezTIME COMPLETED:
12:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Joe Macias conducted a Case Management Inspection. LPA met with the Director Dr. Limary Gutierez, and explained the nature of today's visit. LPA toured the Facility both inside and outside during todays visit. LPA noted that the Facility is located on the Vista Verde Middle School campus, in room 700. The facility has recently submitted an application for an increase of capacity. The facility is currently licensed to provide care for 20 children, the requested increase would bring the total capacity to 24 children. Prior to today's inspection LPA Macias received an approved fire clearance from Greenfield Fire Protection District. LPA Macias remeasured the facility during today's inspection.

Measurements taken during today's inspection:
ROOM 700 = 23.224 x 30.712 = 713.255
TOTAL PRESCHOOL INDOOR SPACE: 713.255 sq. ft. divided by 35 = 20 children.

There are 2 sinks (30), and 2 toilets (30) available for the children. Only cold water is available in the children's sinks. There is a staff bathroom located in the Preschool office. The sick child will use the Staff Bathroom located in the Preschool office. The sick child will be isolated in the Nurse's Office and isolation equipment is provided. The facility currently has ample equipment and supplies for the requested increase of capacity. There are a total of 29 chairs, 6 tables, and 25 cubbies. There is a total of 25 mats/ cots.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: VISTA VERDE PRESCHOOL/H.S
FACILITY NUMBER: 274400486
VISIT DATE: 07/11/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Outdoor Measurements taken during today's inspection:
Outdoor square footage is 2,998.322 divided by 75 = 39 children

The yard is surrounded by appropriate fencing. Shade is provided by building awning, and permanent canopy. The outdoor equipment is age appropriate.

During today's inspection, after measuring it was discovered that the facility does not have the indoor square footage for the requested increase of capacity. The Director will withdraw the application for the increase of capacity.

Exit interview conducted, and a copy of this report was provided to the facility. The Facility will withdraw the application, there is not enough square footage for the requested increase.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2