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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 574500485
Report Date: 12/21/2021
Date Signed: 12/21/2021 01:46:22 PM

Document Has Been Signed on 12/21/2021 01:46 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:YCOE MARGUERITE MONTGOMERYFACILITY NUMBER:
574500485
ADMINISTRATOR:GENET TELAHUN/SILVIA MEZAFACILITY TYPE:
850
ADDRESS:1441 DANBURY STREETTELEPHONE:
(530) 668-3010
CITY:DAVISSTATE: CAZIP CODE:
95618
CAPACITY: 48TOTAL ENROLLED CHILDREN: 28CENSUS: 0DATE:
12/21/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Shannon McClarin TIME COMPLETED:
02:00 PM
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Application Specialist (AS) Alecia Sifuentes met with Director of Early Childhood Education, Shannon McClarin for the purpose of an announced case management inspection to remeasure the outdoor play area due to the Licensee relocating the playground.

The outdoor play area is currently fenced with a chain link fence that is at least four feet tall and fully surrounds the play yard. AS remeasured the outdoor activity space. The outdoor play area contains a total of 1815.8794 square feet, which will only accommodate 24 preschool children. The facility currently holds an Insufficient Outdoor Space Waiver. AS will provide Licensee with an updated waiver. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

This facility evaluation report was reviewed and discussed with Licensee. Licensee was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

Effective today, 12/21/2021, AS will approve the facility for a capacity of 48 children licensed to serve children from age 2 to 5 years
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 12/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/21/2021
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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