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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009256
Report Date: 06/12/2019
Date Signed: 06/12/2019 11:09:44 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:MARY BIRD EARLY CHILDHOOD EDUCATION CENTERFACILITY NUMBER:
483009256
ADMINISTRATOR:WHEELER, STEPHANIEFACILITY TYPE:
850
ADDRESS:420 EAST TABOR AVENUETELEPHONE:
(707) 438-3684
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:72CENSUS: 63DATE:
06/12/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Stephanie WheelerTIME COMPLETED:
11:15 AM
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Licensing Program Analyst, Glenn Ouye arrived to conduct a case management visit for a capacity increase from 72 children to 144 children within the age range of 3 to 5 years. The licensee submitted an application for the capacity increase on May 22, 2019. The Fairfield Fire Department Fire Inspector approved the fire code capacity increase on June 3, 2019 and Community Care Licensing received the approved fire safety inspection from the local fire district.
The number of classrooms has increase from three to six classrooms. The facility also has a large multi-purpose room for use by the children. Each classroom has two toilets and three sinks. The multi-purpose room has two toilets and two sinks. There are a total of 14 toilets and 20 sinks.
The outdoor play area is fully fenced and larger than the square footage required for the increased capacity. The outdoor play area also has a large shaded area and water fountains for the children.
During today's visit, the facility was operating within the licensed capacity and ratio requirements. The facility was toured. No deficiencies were observed. The increase capacity to 144 preschool children is approved and effective as of June 12, 2019. An updated licensed will be sent to the Director. All licensing reports are public information and must be made available upon request.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
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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