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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493006288
Report Date: 05/07/2019
Date Signed: 05/09/2019 08:47:16 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:LA PETITE ACADEMY - SCHOOL AGE/WINDSORFACILITY NUMBER:
493006288
ADMINISTRATOR:MINDY MERONEKFACILITY TYPE:
840
ADDRESS:9451 BROOKS ROADTELEPHONE:
(707) 838-0549
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:15CENSUS: 0DATE:
05/07/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Mindy MeronekTIME COMPLETED:
11:17 AM
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A case management inspection was conducted at the facility by Licensing Program Analyst (LPA) Y. Yang in response to an increase of capacity application received by the Department on 04/15/19. The licensee is requesting an increase in the school-age capacity from 15 to 22 children. This is a combination center with a separate preschool license. Operating hours are 06:30am-06:00pm, Monday-Friday. The "School-Age Classroom" as well as "Pre-K, School-Age Yard" will be used by the school-age children at separate times from the preschool children. The school-age classroom is physically separated from space provided for preschool children.

A fire clearance from the local fire authority was obtained for 22 children on 05/01/19. There have been no changes to the previous floor plan or outdoor yard plan. There are sufficient amount of sinks and restrooms that provide privacy. The outdoor space consisted of a school-age yard, which measured sufficiently for the requested capacity. The school-age classroom measured sufficiently for 20 children and did not meet the requested capacity of 22 school-age children.

The school-age play yard may not be be used when preschool children are using the play area. During today's visit, there were no school-age children in care. The facility was toured and inspected. No deficiencies were observed. The capacity increase is granted for 20 school-age children.

This report was reviewed and discussed with the director. All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
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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