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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
283010096
Report Date:
07/20/2022
Date Signed:
07/20/2022 03:50:27 PM
Document Has Been Signed on
07/20/2022 03:50 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:
NATURE'S WAY MONTESSORI
FACILITY NUMBER:
283010096
ADMINISTRATOR:
SARAH KIRKPATRICK
FACILITY TYPE:
830
ADDRESS:
3051 BROWNS VALLEY ROAD
TELEPHONE:
(707) 226-5437
CITY:
NAPA
STATE:
CA
ZIP CODE:
94558
CAPACITY:
18
TOTAL ENROLLED CHILDREN:
18
CENSUS:
10
DATE:
07/20/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
01:00 PM
MET WITH:
Monica MacDonald and Sarah Kirkpatrick
TIME COMPLETED:
02:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Glenn Ouye met with the administration to conduct a capacity determination visit. The facility will submit an application to add the toddler option to their infant program. The expected capacity will be 24 infants and 24 toddlers. LPA Ouye measured the interior and exterior of the facility. A capacity determination worksheet will be place in the file. There is the appropriate square footage to support the 24 infants and 24 toddlers.
LPA Ouye will return for the capacity increase visit when the fire inspection has been completed.
No deficiencies cited during the visit.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Glenn Ouye
LICENSING EVALUATOR SIGNATURE
:
DATE:
07/20/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/20/2022
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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