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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483004471
Report Date: 08/29/2024
Date Signed: 08/29/2024 03:58:23 PM

Document Has Been Signed on 08/29/2024 03:58 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:BRANSFORD STATE PRESCHOOLFACILITY NUMBER:
483004471
ADMINISTRATOR/
DIRECTOR:		ANNA MANSKARFACILITY TYPE:
850
ADDRESS:900 TRAVIS BLVD.TELEPHONE:
(707) 438-3684
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:51 PM
MET WITH:School ReresentativeTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Elpidia Hernandez Torres arrived to the facility on 08/29/2024 to conduct a case management visit. LPA previously received email notification from center director reporting the state preschool located at 900 Travis Blvd Fairfield CA 94533 was permanently closed as of 08/16/2024.

LPA arrived and met with the School Representative (A1), who reported this location used to have a state preschool on site, but it closed shortly after or during Covid. There is no longer a state preschool at this location.

This site is closed permanently as of 08/16/2024.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2024
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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