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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483006162
Report Date: 08/29/2024
Date Signed: 08/29/2024 04:00:54 PM

Document Has Been Signed on 08/29/2024 04:00 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:ANNA KYLE STATE PRESCHOOLFACILITY NUMBER:
483006162
ADMINISTRATOR/
DIRECTOR:		ANNA MANSKARFACILITY TYPE:
850
ADDRESS:1600 KIDDER AVENUETELEPHONE:
(707) 438-7210
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 25TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/29/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:School Representative TIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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Licensing Program Anaylst (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 on the Anna Kyle Elementary school site was permanently closed as of 08/16/2024.

LPA met with a teacher (A1) who reported the state preschool is closed, and has been closed for a least a few years as their class took over the space that was used by the state preschool.

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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