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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274400486
Report Date: 04/27/2022
Date Signed: 04/27/2022 11:00:15 AM


Document Has Been Signed on 04/27/2022 11:00 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: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: 17DATE:
04/27/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Erin RamirezTIME COMPLETED:
11:10 AM
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On 04/27/2022 at 10:15 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with lead teacher, Connie Avalos, for a case management visit in regards to a temporary relocation of the outdoor play area and informed them of the reason for the visit. Present were four teachers with 17 preschool children. Program Manager, Erin Ramirez arrived shortly after LPA's arrival.

Temporary outdoor play area measurements:

(33.6 x 122.9) = 4129.44 sq. ft divided by 75 = 55.0592

Outdoor play area has enough space for 55 children, facility is licensed for 20 children. LPA was previously informed that demolition and construction will begin after the temporary relocation has been approved and construction will be complete by the first day of school that is 08/10/2022. The temporary outdoor area has appropriate fencing, a temporary shed will be placed outside of the temporary relocation, the shed will be used to store toys. LPA reminded program manager that children must be supervised at all times. Labeled water bottles will be used and taken outside each time the children are in the outdoor play area.

An exit interview was conducted with program manager, Erin Ramirez. No deficiencies were cited during today's visit.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Susy CervantesTELEPHONE: (408) 598-9403
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2022
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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