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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
283005477
Report Date:
02/10/2023
Date Signed:
02/10/2023 11:32:00 AM
Document Has Been Signed on
02/10/2023 11:32 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
,
1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA
,
CA
95405
FACILITY NAME:
CHILDREN'S COTTAGE - PRESCHOOL
FACILITY NUMBER:
283005477
ADMINISTRATOR:
TIFFANY KEAR
FACILITY TYPE:
850
ADDRESS:
1078 EAST AVENUE
TELEPHONE:
(707) 224-3825
CITY:
NAPA
STATE:
CA
ZIP CODE:
94559
CAPACITY:
64
TOTAL ENROLLED CHILDREN:
64
CENSUS:
32
DATE:
02/10/2023
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME BEGAN:
10:00 AM
MET WITH:
Ray Welsh and Tiffany Kear
TIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with the licensee and director for the purpose of a capacity change to lower the capacity to 50 due to one classroom being changed from a preschool to the infant program.
The application was received on 2/7/2023.
The capacity change to 50 is effective on 2/10/2023.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Glenn Ouye
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/10/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/10/2023
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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