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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483005929
Report Date: 10/01/2024
Date Signed: 10/01/2024 12:22:42 PM

Document Has Been Signed on 10/01/2024 12:22 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:VUSD - FEDERAL TERRACE CDC - INFANT/TODDLERFACILITY NUMBER:
483005929
ADMINISTRATOR/
DIRECTOR:		MONIQUE GARCIAFACILITY TYPE:
830
ADDRESS:415 DANIELS AVENUETELEPHONE:
(707) 556-8755
CITY:VALLEJOSTATE: CAZIP CODE:
94590
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 2DATE:
10/01/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Monique Garcia and Corine CalicaTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (Glenn Ouye) met with Corine Calica, Coordinator of Child Development Program and Site Supervisor Monique Garcia to review room four which was recently allocated to the child development program's infant program at Federal Terrace. The facility is currently licensed for five infants and 12 toddlers. Moving to this new room would allow the licensee to apply for 6 infants and maintain the 12 toddlers under the infant license.

The program will submit a capacity change for the increase of one additional infant and the change to the new infant classroom.

No deficiencies cited as a result of the inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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