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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
483009964
Report Date:
03/30/2022
Date Signed:
03/30/2022 09:44:42 AM
Document Has Been Signed on
03/30/2022 09:44 AM
- 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:
MARENA'S CLLAIMM ACADEMY P/S
FACILITY NUMBER:
483009964
ADMINISTRATOR:
SIMMONS, MARENA
FACILITY TYPE:
850
ADDRESS:
1701 BROADWAY
TELEPHONE:
(707) 712-6007
CITY:
VALLEJO
STATE:
CA
ZIP CODE:
94589
CAPACITY:
75
TOTAL ENROLLED CHILDREN:
75
CENSUS:
DATE:
03/30/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
09:00 AM
MET WITH:
Marena Simmons
TIME COMPLETED:
10:00 AM
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LPA Ouye met with Marena Simmons at the child care center site to verify progress in the remodel of the center. The interior construction is being performed. All new plumbing and sewer is being installed. New framing and walls are being erected at this point. The General Contractor said that the project completion date will occur sometime in the summer of 2022.
LPA Ouye will continue to follow up with the applicant until the facility is licensed.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Glenn Ouye
LICENSING EVALUATOR SIGNATURE
:
DATE:
03/30/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/30/2022
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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