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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009162
Report Date: 05/25/2023
Date Signed: 05/25/2023 11:42:02 AM


Document Has Been Signed on 05/25/2023 11:42 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:LE PETIT ELEPHANT NURSERYFACILITY NUMBER:
283009162
ADMINISTRATOR:PAL PINTACSI, MILLIFACILITY TYPE:
830
ADDRESS:2645 LAUREL STREETTELEPHONE:
(707) 690-8797
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:50CENSUS: 35DATE:
05/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Milli PintacsiTIME COMPLETED:
11:45 AM
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Licensing Program Analyst's (LPA) Glenn Ouye and Mindy Mohr met with the licensee to determine the capacity for the preschool and infant program.

The licensee is currently negotiating the lease with the landlord and potentially changing buildings for child care. There is no formalized agreement at this point.

The outdoor square footage for the proposed new infant outdoor area would be
49ft x 75ft = 3675 sq ft. There is a proposed portable class room which is 24x36 ft = 864 sq.ft. The total infant outdoor sq ft would be 2811 sq ft which equates to 37 infants children.

The proposed preschool outdoor activity area was measured at 62ft x 75ft= 4650 sq ft. which equates to 62 preschool children.

The department would authorize an outdoor rotational waiver for both the preschool and infant programs provided the program do not exceed the maximum outdoor capacity or a lowered agreed capacity stated on the waiver request.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023
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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