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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 490111744
Report Date: 06/24/2021
Date Signed: 06/24/2021 02:47:13 PM

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:CALI CALMECAC EXTENDED CHILD CAREFACILITY NUMBER:
490111744
ADMINISTRATOR:GENEVIEVE MCDOWELLFACILITY TYPE:
840
ADDRESS:9491 STARR ROADTELEPHONE:
(707) 838-3859
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:126CENSUS: 0DATE:
06/24/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:09 PM
MET WITH:Genevieve McDowellTIME COMPLETED:
02:40 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
A case management tele-visit inspection was conducted today in response to an application received by the Department requesting the addition of a classroom to the license. Licensing Program Analyst (LPA) Y. Yang met with site supervisor Genevieve McDowell during the tele-visit. The center is requesting the addition of classroom #11 to the the facility license. The center will no longer utilize previously approved room #9. The center's licensed capacity of 126 children remains unchanged. This center currently utilizes rooms #1,2,3,10,the multi-purpose room, and the ECC rooms A and B. The center currently operates 8:00am-6:00pm M-F. A current fire clearance was obtained from the elementary school that the center is located at.The request to add classroom #11 to the license is granted.

This report was reviewed and discussed with the site supervisor. All licensing reports are public information and must be made available upon request for at least three years.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021
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