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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009283
Report Date: 08/16/2022
Date Signed: 08/16/2022 11:02:18 AM


Document Has Been Signed on 08/16/2022 11:02 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:EARLY HEAD START - VINCE HARPER TODDLERFACILITY NUMBER:
493009283
ADMINISTRATOR:GROCOTT, LISAFACILITY TYPE:
850
ADDRESS:1336 TEMPLE STREETTELEPHONE:
(707) 528-0803
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:28CENSUS: 0DATE:
08/16/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lisa GrocottTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Lisa Grocott to conduct a case management visit, The program is changing from a preschool with a toddler option to an infant program with a toddler option. The facility is seeking the program to be a toddler program and will be licensed for 16 toddlers.

The facility is has two distinct areas for the toddlers. The facility plans to operate two groups of eight toddlers ages 18 months to 36 months of age.

There is sufficient square footage for the total capacity of 16 toddlers and each toddler area has sufficient square footage for the the group size. The program has age appropriate furniture, equipment and toys for the children. There are two toilets and five sinks for the children, There is a separate staff restroom. There are functional smoke and carbon monoxide detectors. There is a fire extinguisher rate at 2A10BC.

The outdoor activity area has sufficient space for nine children. The facility will use a rotational waiver. The outdoor area is shared on a rotational schedule with Head Start - Barbara Daniels-Love (490106572). The directors have done this with the existing toddler group on the previous preschool program that was operated at this site. The toddlers will not use the outdoor activity area while the older preschool age children are using the outdoor area.

The Program's license is approved for 16 toddlers effective August 16, 2022.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2022
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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