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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125407921
Report Date: 08/26/2021
Date Signed: 08/26/2021 12:01:27 PM

Document Has Been Signed on 08/26/2021 12:01 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:REDWOOD LEARNERS PRESCHOOL-SPECIAL BEGINNINGSFACILITY NUMBER:
125407921
ADMINISTRATOR:MACIAS, GENEVIVEFACILITY TYPE:
850
ADDRESS:1200 ROSS HILL ROADTELEPHONE:
(707) 540-5692
CITY:FORTUNASTATE: CAZIP CODE:
95540
CAPACITY: 18TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/26/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Shelby PetersonTIME COMPLETED:
12:30 PM
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A prelicensing inspection was conducted by Licensing Program Analyst (LPA) Kiriko Lynch in response to an application received on 05/17/21. The facility was toured inside and outside, and the floor and yard plan submitted by the licensee were verified. Licensee is a public agency, Humboldt County Office of Education. Two partial day programs will run out of the classroom, Classroom 6, Monday through Thursday, 8:15 AM - 11:15 AM, and 11:15 AM - 2:15 PM. Program has toys, play equipment, and furniture set up in the classroom for children to use. Program will serve snack for both programs, and utilize water pitcher/cups and bottled water available for children. The indoor space of the classroom was measured, and will meet the requested capacity of 18 preschool children. The outdoor fenced play area space with the additional adjacent exterior space is sufficient for the program. The fire clearance was received by Licensing, and was approved by the local fire authority on 06/01/21. Classroom 6 has restroom fixtures sufficient for the capacity, and isolation room is located on campus in Classroom 3 nearby.

Facility is licensed today 08/26/21.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2021
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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