<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
493010364
Report Date:
07/06/2023
Date Signed:
07/06/2023 08:52:06 AM
Document Has Been Signed on
07/06/2023 08:52 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:
LITTLE MONARCHS PRESCHOOL
FACILITY NUMBER:
493010364
ADMINISTRATOR:
IRIDIAN SANCHEZ
FACILITY TYPE:
850
ADDRESS:
3267 AIRWAY DRIVE
TELEPHONE:
(707) 479-5577
CITY:
SANTA ROSA
STATE:
CA
ZIP CODE:
95403
CAPACITY:
57
TOTAL ENROLLED CHILDREN:
57
CENSUS:
12
DATE:
07/06/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
08:00 AM
MET WITH:
Zoe Teeter
TIME COMPLETED:
09:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst Glenn Ouye met with licensee to conduct measurements for a potential capacity increase by adding additional classrooms to the existing program.
Licensee will follow up with LPA Ouye if she determines that the change is viable.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Glenn Ouye
LICENSING EVALUATOR SIGNATURE
:
DATE:
07/06/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
Page:
1
of
1