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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010450
Report Date: 08/07/2024
Date Signed: 08/07/2024 02:14:08 PM

Document Has Been Signed on 08/07/2024 02:14 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:JEWISH COMMUNITY CENTER SOCO PRESCHOOLFACILITY NUMBER:
493010450
ADMINISTRATOR/
DIRECTOR:		WELTON, SARAHFACILITY TYPE:
850
ADDRESS:3421 BONITA VISTA LANETELEPHONE:
(707) 528-4222
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 8DATE:
08/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Sarah WeltonTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with Director, Sarah Welton to conduct a capacity increase case management visit. The application for the capacity increase was received by the department on July 22, 2024. The approved fire clearance from the Santa Rosa Fire Department was received on August 1, 2024.

The facility interior and exterior space support 24 preschoolers. An additional room which was previously used as an office has been converted to indoor activity space for the children. The facility has 3 toilets and six sinks for the children.

The capacity of 24 preschool children is approved effective today, August 7, 2024. A new license will be sent to the facility.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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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