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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274400486
Report Date: 02/09/2023
Date Signed: 02/09/2023 12:54:42 PM

Document Has Been Signed on 02/09/2023 12:54 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:VISTA VERDE PRESCHOOL/H.SFACILITY NUMBER:
274400486
ADMINISTRATOR:JUANITA GONZALEZFACILITY TYPE:
850
ADDRESS:1199 ELM AVENUETELEPHONE:
(831) 674-1420
CITY:GREENFIELDSTATE: CAZIP CODE:
93927
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 18DATE:
02/09/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Amalia RodriguezTIME COMPLETED:
01:00 PM
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On 02/09/2023 at 12:25 PM, Licensing Program Analyst (LPA) Susy Cervantes, met with Amalia Rodriguez, ECE advocate for preschool for a case management visit in regards to the newly constructed play structure for the children. Present were 18 children with two teachers and a volunteer.

LPA inspected and took pictures of the play structure and observed that it is appropriate for the age range of the children in care. There is pour and play as resilient material. Shade is provided by the classroom's overhang. LPA was informed that a permanent canopy will be installed at a later time, construction time has not been determined. LPA informed Advocate that a temporary canopy or overhang needs to be installed for the time being.

Measurements taken on 08/09/2022 of the outdoor play area:

(67.10 x 65.9) + (88.5 x 32) = 4421.89 sq. ft divided by 75 = 96.72

Outdoor play area has enough space for 96 children, facility is licensed for 20 children. The outdoor area has appropriate fencing and a shed that is used for storage of the play equipment. LPA reminded Advocate 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.

No deficiencies were cited during today's visit. An exit interview was conducted with advocate, Amalia Rodriguez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Susy Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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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