<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412174
Report Date: 06/26/2019
Date Signed: 06/26/2019 04:15:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:WONDER YEARS PRESCHOOL, INC., THEFACILITY NUMBER:
434412174
ADMINISTRATOR:MELISSA CLARKFACILITY TYPE:
850
ADDRESS:92 WEST EL CAMINO REALTELEPHONE:
(650) 938-8386
CITY:MOUNTAIN VIEWSTATE: CAZIP CODE:
94040
CAPACITY:108CENSUS: 71DATE:
06/26/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Melissa ClarkTIME COMPLETED:
04:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Mel Matos met with Melissa Clark, director, for an unannounced case management inspection. Purpose of today's inspection: discuss the pending construction and additional of space to the Facility license.

LPA advised Melissa that the Facility will need to submit all pertinent paperwork and $25.00 application fee to the Oakland Regional Office whenever the construction of the additional space has been completed and final inspection approval has been received from the City of Mountain View. The address of the Oakland Regional Office is listed above in the header of this report.

No deficiencies issued during today's inspection.


A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1