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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010694
Report Date: 08/29/2024
Date Signed: 08/29/2024 03:33:29 PM

Document Has Been Signed on 08/29/2024 03:33 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:STORYBOOK VILLAGE PRESCHOOLFACILITY NUMBER:
493010694
ADMINISTRATOR/
DIRECTOR:		NICOLE MONACHELLOFACILITY TYPE:
860
ADDRESS:4295 MONTGOMERY DRIVETELEPHONE:
(707) 843-7704
CITY:SANTA ROSASTATE: CAZIP CODE:
95405
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
08/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Nicole MonachelloTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On August 29, 2024 at 3:15pm Licensing Program Analyst (LPA), Snow conducted an announced inspection for a new license. Upon arrival, LPA met with Applicant/Facility Representative Nicole Monachello.
LPA verified that the barbed wire had been removed from the fencing.

The facility is licensed for 30 preschool children, effective today 8/29/24.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2024
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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