<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009162
Report Date: 05/29/2024
Date Signed: 05/29/2024 01:55:27 PM

Document Has Been Signed on 05/29/2024 01:55 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:LE PETIT ELEPHANT NURSERYFACILITY NUMBER:
283009162
ADMINISTRATOR/
DIRECTOR:		PAL PINTACSI, MILLIFACILITY TYPE:
830
ADDRESS:2645 LAUREL STREETTELEPHONE:
(707) 690-8797
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 33DATE:
05/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Milli PintasciTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 5/29/2024 Licensing Program Analysts (LPAs) Glenn Ouye and Mindy Mohr made an unannounced case management visit and met with Milli Pintacsi to conduct a capacity decrease from 50 infants to 28 infants. The capacity change application was received on 5/28/2024.

The facility classrooms were measured on 5/29/2024. There is sufficient indoor and outdoor activity square footage to support 28 infants.

An approved fire clearance was received on 5/29/2024 for 28 infants in classrooms 1, 2, and 9. The nap room is room 3 off of classroom 2.

LPA's advised the licensee and the assistant director that infant rooms that have been designated and approved by the department can only be used for infant care. Any changes of use must be approved by the department prior to change of use.

The capacity change to 28 infants is approved and effective 5/30/2024.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1