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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 293615974
Report Date: 08/30/2019
Date Signed: 08/30/2019 03:41:10 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:TRUCKEE STATE PRESCHOOLFACILITY NUMBER:
293615974
ADMINISTRATOR:HOLT, BOBBEFACILITY TYPE:
850
ADDRESS:11911 DONNER PASS ROADTELEPHONE:
(530) 582-2500
CITY:TRUCKEESTATE: CAZIP CODE:
96161
CAPACITY:24CENSUS: 0DATE:
08/30/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Cindy Maciel - Program ManagerTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Blake Morillas conducted a site inspection for the purpose of a Change of Location. The facility is still located on the same school campus, but is permanently changing classrooms from Room 2 to Room 42. LPA met with Cindy Maciel, the Program Director of the facility. There were no children present due to the facility still being closed for the summer.

INDOOR ACTIVITY SPACE:
The facility consist of Room 42 which is located on the campus of Truckee Elementary School. The space consists of the classroom and one bathroom inside said classroom. The previously bathroom waver will remain in effect per request. In the classroom and bathroom there are 1 toilet and 2 sinks for children use. The classroom is equipped with child size furnishings. There are individual cubbies for storing children's personal belongings. Facility will use the drinking fountain in the classroom for water. Facility has first aid kits. All hazardous materials such as cleaning solutions are inaccessible to children. There are no bodies of water at the facility. The fire clearance has been received and approved. The classroom contains a total measurement of 1,011 square feet, which is enough to accommodate the Licensed capacity of 24 Preschool age children.

OUTDOOR ACTIVITY SPACE:
Construction of the outdoor play area has been completed with age appropriate structures and sufficient padding being observed. The surrounding building and trees will provide shade for the children in care. Measurements for outdoor area was over 18,500 square feet, which does accommodate the Licensed capacity of 24 Preschool Age children. The facility will utilize the outdoor drinking fountains and water jugs for children when outside.

Effective today (8-30-2019) the change in rooms is approved.

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake MorillasTELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
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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