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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
483010324
Report Date:
12/15/2022
Date Signed:
12/15/2022 01:28:01 PM
Document Has Been Signed on
12/15/2022 01:28 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:
LITTLE FLOWERS MONTESSORI
FACILITY NUMBER:
483010324
ADMINISTRATOR:
RUWANGI D. SUMANASEKERA
FACILITY TYPE:
850
ADDRESS:
2500 NORTH TEXAS STREET
TELEPHONE:
(707) 665-5530
CITY:
FAIRFIELD
STATE:
CA
ZIP CODE:
94533
CAPACITY:
190
TOTAL ENROLLED CHILDREN:
190
CENSUS:
0
DATE:
12/15/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
11:30 AM
MET WITH:
Jaclyn Smith
TIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Glenn Ouye arrived to conduct a capacity determination of the new center. LPA Ouye met with Jaclyn Smith during the inspection.
The indoor and outdoor activity areas were measured. The interior square footage is sufficient to meet the application capacity.
The outdoor activity area does not meet the required square footage for 190 children but the licensee will utilize an outdoor rotational waiver for child care outdoor activity time.
LPA will return to complete the prelicensing inspection on a future date.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Glenn Ouye
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/15/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/15/2022
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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