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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010067
Report Date: 08/06/2021
Date Signed: 08/06/2021 02:57:04 PM

Document Has Been Signed on 08/06/2021 02:57 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:MISS DAWN'S DAYCARE LLC-PRESCHOOLFACILITY NUMBER:
493010067
ADMINISTRATOR:WARWICK, DAWNFACILITY TYPE:
850
ADDRESS:1180 ELVERA STREETTELEPHONE:
(707) 849-7318
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY: 26TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
08/06/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Dawn WarwickTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with applicant Dawn Warwick to conduct a capacity determination for her center. The applicant is determining if she will remove some interior walls to increase the square footage to meet the capacity requirements.
The applicant will also check with the city planning department to confirm that no additional permitting is required to have the child care center in the residential neighborhood.

All interior rooms were measured. The facility bathroom has two toilets and one urinal. There is a double sink in the bathroom.

The applicant will contact LPA Ouye after she determines what and if any modifications to the facility will be performed.

LPA will continue communication with the applicant to proceed with licensure.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2021
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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