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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274413650
Report Date: 12/11/2023
Date Signed: 12/11/2023 03:40:21 PM


Document Has Been Signed on 12/11/2023 03:40 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:TIBURCIO VASQUEZ PRESCHOOLFACILITY NUMBER:
274413650
ADMINISTRATOR:CANO-RAYAS, MONICAFACILITY TYPE:
850
ADDRESS:1300 TUSCANY BLVDTELEPHONE:
(831) 770-6000
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:24CENSUS: 22DATE:
12/11/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Rocio Reyes & Lucia De Santos TIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannounced Required-3 Year inspection. LPA met with the Site Teacher Rocio Reyes & Teacher Assistant Lucia De Santos and explained the nature of today's visit. LPA noted that the facility is located on the Monte Bella Elementary School campus, in classroom 4. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule. The preschool has two sessions 8:15am-11:15am and 12:30pm-3:30pm. The hours of operation are Monday-Friday, 8:00am-5:00pm.

Annual inspection will be continued on a later date. No deficiencies cited, exit interview conducted with Site Teacher Rocio, and a copy of this report was provided.

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

SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/11/2023
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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