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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493007940
Report Date: 11/19/2021
Date Signed: 11/19/2021 09:30:00 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:LITTLE SCHOOL HOUSE INC.FACILITY NUMBER:
493007940
ADMINISTRATOR:WILLIAMS, LISAFACILITY TYPE:
850
ADDRESS:270 MARK WEST STATION ROADTELEPHONE:
(707) 527-8118
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:48CENSUS: 25DATE:
11/19/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Lisa WilliamsTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Director, Lisa Williams to conduct a capacity determination for the preschool program which includes the toddler component.

Currently the toddler room (toddler component) is approved for 6 children. The toddler room has been measured and currently supports 8 toddlers.

LPA Ouye spoke with the director and owner. They will be reconfiguring the floor plan (expanding the square footage of the toddler room). The total capacity of the preschool license will not change. An updated LIC200A for the increase of toddler from 6 to 8 children has been received. Also an updated LIC200A has been received to increase the toddler capacity to 11 children. The capacity of 11 toddlers can be changed when the room is reconfigured and an updated sketch has been submitted. LPA will need an updated facility sketch and a photo of the child safety gate which separates the toddler area.

LPA and the administration also discussed increasing the capacity from 48 to 53 children. The capacity increase will take place at a later date.

The facility is now approved to provide care for up to 8 toddlers effective 11/19/21.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
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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