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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393619986
Report Date: 07/23/2019
Date Signed: 07/23/2019 11:51:10 AM

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:LOUIS VILLALOVOZ CDCFACILITY NUMBER:
393619986
ADMINISTRATOR:ZILLER, CHRISTYFACILITY TYPE:
850
ADDRESS:1550 CYPRESS DRIVETELEPHONE:
(209) 834-1850
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:43CENSUS: DATE:
07/23/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Christy Ziller TIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Mary Ponce and Christopher Jackson met with Site Supervisor Christy Ziller for a Case Management- Licensee initiated inspection to include an outdoor space for the preschool children. LPAs measured the outdoor space and observed 2,976.756 sqft which will accommodate 39 children to be outside at one time. LPAs also observed age appropriate play equipment. Christy provided a Waiver Request for shared outdoor space so that the school age children and preschool children can utilize the same space at different times.

As of today 7/23/19, the facility is approved to use the outdoor space on the south side of the facility for preschool children.

LPA Ponce read the report to Christy. No deficiencies have been cited during today's inspection. Notice of Site Visit must remain posted for 30 days.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Mary PonceTELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
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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