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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408921
Report Date: 06/21/2022
Date Signed: 06/21/2022 03:17:06 PM

Document Has Been Signed on 06/21/2022 03:17 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:LITTLE ROSES PRESCHOOL-CARQUINEZ GARDEN SCHOOLFACILITY NUMBER:
073408921
ADMINISTRATOR:POSNER, HEATHERFACILITY TYPE:
850
ADDRESS:1650 CROCKETT BOULEVARDTELEPHONE:
(510) 837-8283
CITY:CROCKETTSTATE: CAZIP CODE:
94525
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
06/21/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Heather PosnerTIME COMPLETED:
03:30 PM
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On 06/21/22, Licensing Program Analyst (LPA) Melissa Guirit arrived at the facility for an unannounced case management inspection for a capacity increase. LPA met with Heather Posner. The normal hours of operation are Monday-Friday 8:00 am-5:00pm. No children were present during today's inspection due to a power outage this morning.

An updated fire clearance for 32 children was received by Crockett Carquinez Fire Department on 6/21/22.

Per Director, there are no changes from the previous report on 12/30/2021.

There are no deficiencies cited during today's visit. The facility is licensed for a total capacity of 32 preschoolers today, 06/21/22. A copy of this report was provided and exit interview conducted with Director Heather Posner.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2022
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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