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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274400486
Report Date: 08/09/2022
Date Signed: 08/09/2022 03:11:07 PM


Document Has Been Signed on 08/09/2022 03:11 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) 674-9378
CITY:GREENFIELDSTATE: CAZIP CODE:
93927
CAPACITY:20CENSUS: 0DATE:
08/09/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Erin RamirezTIME COMPLETED:
03:15 PM
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On 08/09/2022 at 3:00 PM, Licensing Program Analyst (LPA), Susy Cervantes met with Program Manager (PM), Erin Ramirez, for a case management visit to re-measure the outside play area for the children and informed them of the reason for the visit. The school year has not started, there were no children present during today's visit.

LPA was informed that the play structures are currently back ordered and will not arrive until October or November 2022. Construction of the play structures will begin during thanksgiving break or the holiday break in December 2022. LPA observed that the play area is ready and is only lacking the play structure.

Outdoor play area measurements:

(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 24 children. The outdoor area has appropriate fencing and a shed that is used for storage of the play equipment. 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: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2022
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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