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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009433
Report Date: 08/05/2021
Date Signed: 08/05/2021 01:54:56 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:4CS APPLES AND BANANAS PRESCHOOLFACILITY NUMBER:
493009433
ADMINISTRATOR:SAENZ, NEIRAFACILITY TYPE:
850
ADDRESS:953 SUNSET AVENUETELEPHONE:
(707) 544-4074
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:48CENSUS: 0DATE:
08/05/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Amy McIntyreTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with Program Director Amy McIntyre for a capacity increase of the existing center. The program is adding one additional classroom, AB3 to the program. AB1 and AB2 were in use.

LPA measured the interior and exterior square footage of the building. The fire inspector has required two items to be added before the clearance is approved. This room has adequate square footage for 21 additional children. The classroom has a total of 3 sinks and 2 toilets. There is a functional smoke and carbon. There are sufficient, desks, chairs, equipment and toys for the children in care. The entire outdoor activity space was measured and is sufficient for 168 children. There are also sufficient outdoor toys and equipment for the children.

Upon receipt of the approved fire clearance, the facility will be approved for 69 preschool age children.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
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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