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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810136
Report Date: 04/28/2022
Date Signed: 04/28/2022 03:54:27 PM

Document Has Been Signed on 04/28/2022 03:54 PM - 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CORNERSTONE CHRISTIAN PRESCHOOL MONTEVISTA CAMPUSFACILITY NUMBER:
503810136
ADMINISTRATOR:MARROQUIN, STEPHANIEFACILITY TYPE:
850
ADDRESS:700 E MONTE VISTA AVETELEPHONE:
(209) 535-0136
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 8DATE:
04/28/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Stephanie MarroquinTIME COMPLETED:
04:30 PM
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On April 28, 2022, Licensing Program Analyst (LPA) met with Director, Stephanie Marroquin. During today's inspection, LPA toured facility inside, outside and took a census. Licensee requested preschool capacity increase. Current preschool capacity is 24.

Items to be addressed before licensure:

· New fire clearance reflecting 33 preschool capacity.
· New relocation site during an emergency.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for the requested capacity of 33 preschool children.

Exit interview conducted and report was reviewed with director, Stephanie Marroquin

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.


THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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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