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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274408742
Report Date: 06/24/2021
Date Signed: 06/28/2021 12:19:14 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:BORONDA MEADOWS ELEMENTARY PRESCHOOLFACILITY NUMBER:
274408742
ADMINISTRATOR:ROSIE A. ALVAREZFACILITY TYPE:
850
ADDRESS:915 LARKIN DRIVETELEPHONE:
(831) 753-0648
CITY:SALINASSTATE: CAZIP CODE:
93907
CAPACITY:48CENSUS: 0DATE:
06/24/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:24 PM
MET WITH:TIME COMPLETED:
03:55 PM
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On 06/24/2021 LPA Collins attempted a case management inspection due the licensee requesting an increase in capacity prior to entering the facility and conducting the inspections. LPA observed the school appeared closed. LPA called the Director on the phone and stated the nature of the call (COVID-19 questions) The licensee/Director stated the school is closed for summer break and not due to RE-opened until August and she will not return until July 19th.

LPA called directors private number 1 559 967-0063.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021
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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