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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
570303946
Report Date:
09/25/2019
Date Signed:
09/26/2019 09:00:41 AM
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
WINTERS PARENT NURSERY SCHOOL
FACILITY NUMBER:
570303946
ADMINISTRATOR:
KAREN BENSON-NEIL
FACILITY TYPE:
850
ADDRESS:
208 4TH STREET
TELEPHONE:
(530) 795-4659
CITY:
WINTERS
STATE:
CA
ZIP CODE:
95694
CAPACITY:
24
CENSUS:
0
DATE:
09/25/2019
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
05:45 PM
MET WITH:
Karen Neil. Director
TIME COMPLETED:
06:00 PM
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Licensing Program Analyst (LPA) Amy Silva met with Karen Neil to deliver the reports for the annual inspection and complaint findings that were not able to be printed during the visit conducted on 9/24/2019.
SUPERVISOR'S NAME:
Maria Mayorga
TELEPHONE:
(916) 263-1414
LICENSING EVALUATOR NAME:
Amy Silva
TELEPHONE:
(916) 926-9100
LICENSING EVALUATOR SIGNATURE:
DATE:
09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/25/2019
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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