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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483008675
Report Date: 03/05/2025
Date Signed: 03/05/2025 03:33:27 PM

Document Has Been Signed on 03/05/2025 03:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:MARY FARMAR PRESCHOOLFACILITY NUMBER:
483008675
ADMINISTRATOR/
DIRECTOR:		DUDLEY, ERICAFACILITY TYPE:
850
ADDRESS:901 MILITARY WESTTELEPHONE:
(707) 747-8367
CITY:BENICIASTATE: CAZIP CODE:
94510
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 0DATE:
03/05/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Erica DudleyTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Selena Mariani and Glenn Ouye conducted a consultative case management visit to discuss future room change from room 17 to room 19 with Center Director (CD) Erica Dudley. Room 19 was measured 735 square feet for indoor activity space with two toilets and two sinks for children use. Outdoor space measured 1846.5 square feet. This square footage accommodate 21 children in care. Community Care Licensing Department (CCLD) will request the fire clearance. Purposed license date will be August 1, 2025.

Report was reviewed and provided to Center Director, Erica Dudley.
Notice of site visit was provided.
Leslie LeporiTELEPHONE: (707) 588-5060
Selena MarianiTELEPHONE: (916) 605-8974
DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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