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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009161
Report Date: 02/03/2023
Date Signed: 02/03/2023 10:39:29 AM


Document Has Been Signed on 02/03/2023 10:39 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:LE PETIT ELEPHANT PRESCHOOLFACILITY NUMBER:
283009161
ADMINISTRATOR:PAL PINTACSI, MILLIFACILITY TYPE:
850
ADDRESS:2645 LAUREL STREETTELEPHONE:
(707) 690-8797
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:62CENSUS: 0DATE:
02/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Milli Pal PintacsiTIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with licensee on a day when the program was closed for a staff development day. LPA conducted a capacity determination for an application submitted for a capacity increase for the preschool program.

LPA Ouye measured the indoor and outdoor activity areas

There is sufficient interior and outdoor square footage to meet the needs to the capacity increase of 78 children.

Rooms 12, 10, 9, 8 and 5 will be used for the preschool program.

The capacity increase to 78 children is approved effective, today, 2/3/2023.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2023
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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