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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
493009533
Report Date:
02/09/2022
Date Signed:
02/09/2022 10:05:40 AM
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:
RAINBOW BRIDGE MONTESSORI II
FACILITY NUMBER:
493009533
ADMINISTRATOR:
KANCHARLA, AISHWARYA
FACILITY TYPE:
850
ADDRESS:
70 WILLIAM STREET
TELEPHONE:
(707) 795-6666
CITY:
COTATI
STATE:
CA
ZIP CODE:
94931
CAPACITY:
23
CENSUS:
9
DATE:
02/09/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
09:00 AM
MET WITH:
Aishwarya Kancharla
TIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with the licensee to measure a spare room that she plans to convert to an infant program. The room dimension was measured and the LPA consulted with the licensee about the infant program requirements.
The licensee has some room modifications that will be done to support the infant program and will submit the application for the infant center at a later date.
The licensee was also told that an updated facility sketch for the preschool program will need to be submitted and an updated capacity determination for the preschool program will be required. The capacity may be lowered based on the new square footage measurements of preschool activity area.
No deficiencies were observed or cited during the visit.
SUPERVISOR'S NAME:
Leslie Lepori
TELEPHONE:
(707) 588-5060
LICENSING EVALUATOR NAME:
Glenn Ouye
TELEPHONE:
(707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE:
02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/09/2022
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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