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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009256
Report Date: 01/07/2020
Date Signed: 01/09/2020 08:35:57 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:144CENSUS: DATE:
01/07/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:32 PM
MET WITH:Stephanie Wheeler, PrincipalTIME COMPLETED:
03:00 PM
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LPA Mary Trinh made a visit to get contact information (email addresses) for the three state preschools: Mary Bird, Fairfield Suisun and Public Safety Academy. Stephanie Wheeler stated that her email address can be used for the three state preschools. email address is:
stephaniew@fsusd.org
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Mary TrinhTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
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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