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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270710411
Report Date: 04/27/2022
Date Signed: 04/27/2022 11:56:41 AM

Document Has Been Signed on 04/27/2022 11:56 AM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:GREENFIELD UNION SCHOOL DISTRICT-PRESCHOOL PROGRAMFACILITY NUMBER:
270710411
ADMINISTRATOR:TERESA RAMIREZFACILITY TYPE:
850
ADDRESS:490 EL CAMINO REALTELEPHONE:
(831) 674-8731
CITY:GREENFIELDSTATE: CAZIP CODE:
93927
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 0DATE:
04/27/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Erin RamirezTIME COMPLETED:
12:10 PM
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On 04/27/2022 at 11:40 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with program manager, Erin Ramirez, for a case management visit in regards to a temporary relocation of the outdoor play area and informed them of the reason for the visit. Present were four teachers, children had already left for the day.

Temporary outdoor play area measurements:

(38.6 x 75.3) = 2906.58 sq. ft divided by 75 = 38.7544

Outdoor play area has enough space for 38 children, facility is licensed for 45 children and there are two classrooms. Program Manager stated each classroom goes out at different times and there will not be 38 at any time in the temporary play area. LPA was previously informed that demolition and construction will begin after the temporary relocation has been approved and construction will be complete by the first day of school that is 08/10/2022. The temporary outdoor area has appropriate fencing, there is a near by shed that will be used to store toys. LPA reminded program manager that children must be supervised at all times. Labeled water bottles will be used and taken outside each time the children are in the outdoor play area.

An exit interview was conducted with program manager, Erin Ramirez. No deficiencies were cited during today's visit.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Susy Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2022
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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