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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
230111949
Report Date:
02/11/2025
Date Signed:
02/11/2025 02:40:20 PM
Document Has Been Signed on
02/11/2025 02:40 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
SANTA ROSA CC RO
,
1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA
,
CA
95405
FACILITY NAME:
UKIAH UNIFIED PRESCHOOL CENTER BILINGUAL PRESCHOOL
FACILITY NUMBER:
230111949
ADMINISTRATOR/
DIRECTOR:
GONZALEZ, TERESA
FACILITY TYPE:
850
ADDRESS:
1100 N. BUSH STREET
TELEPHONE:
(707) 468-3304
CITY:
UKIAH
STATE:
CA
ZIP CODE:
95482
CAPACITY:
24
TOTAL ENROLLED CHILDREN:
0
CENSUS:
0
DATE:
02/11/2025
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
12:38 PM
MET WITH:
Teresa Gonzalez
TIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Robert Maciel made a case management visit for the purpose of following up on a waiver request submitted to the department on 2/10/25 regarding the shared usage of the outdoor activity space and met with Director Teresa Gonzalez.
During today's visit LPA spoke with the Director and took measurements of the outdoor activity space.
No deficiencies were cited during today's inspection. A notice of site visit was given and must remain posted for 30 days. Failure to do so shall result in a civil penalty of $100.
SUPERVISORS NAME
:
Erin Virrueta
LICENSING EVALUATOR NAME
:
Robert Maciel
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/11/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/11/2025
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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