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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010481
Report Date: 08/25/2023
Date Signed: 08/25/2023 02:19:57 PM

Document Has Been Signed on 08/25/2023 02:19 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:BAYNORTH LEARNING CENTER - PRESCHOOLFACILITY NUMBER:
483010481
ADMINISTRATOR:MORRIS, SAMFACILITY TYPE:
850
ADDRESS:2100 PENNSYLVANIA AVENUETELEPHONE:
(707) 720-5278
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: DATE:
08/25/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kim WrightTIME COMPLETED:
02:30 PM
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Licensing Program Analyst Glenn Ouye met with Kim Wright to evaluate the site and determine if the site could be licensed.

The rooms are ready to be licensed. There is sufficient equipment, furniture and toys for the children. The outdoor area requires a minor adjustment to the retaining edge for the wood chips in the outdoor area with a climbing structure.

LPA is still reviewing the parent handbook and waiting for the licensee clearance to be processed. When these are completed the facility will be approved for licensure.

LPA Ouye will advise facility when the clearance is approved and the facility is approved for licensure.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2023
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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