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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
280109942
Report Date:
05/06/2022
Date Signed:
05/06/2022 10:52:36 AM
Document Has Been Signed on
05/06/2022 10:52 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
,
1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA
,
CA
95405
FACILITY NAME:
DISCOVERY LAND CHILDREN'S CENTER-PRESCHOOL
FACILITY NUMBER:
280109942
ADMINISTRATOR:
ADA FUNES
FACILITY TYPE:
850
ADDRESS:
85 COLD SPRINGS ROAD
TELEPHONE:
(707) 965-2092
CITY:
ANGWIN
STATE:
CA
ZIP CODE:
94508
CAPACITY:
29
CENSUS:
29
DATE:
05/06/2022
TYPE OF VISIT:
Collateral
UNANNOUNCED
TIME BEGAN:
08:00 AM
MET WITH:
Ada Funes
TIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Ana Funes to conduct a capacity determination for the preschool/infant programs. The director indicated that there will be update to the ownership.
The interior and exterior activity areas were inspected and measured.
LPA Ouye will provide the director with a capacity determination worksheet for future use.
No deficiencies
SUPERVISOR'S NAME:
Leslie Lepori
TELEPHONE:
(707) 588-5060
LICENSING EVALUATOR NAME:
Glenn Ouye
TELEPHONE:
(707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE:
05/06/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/06/2022
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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