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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009161
Report Date: 02/07/2024
Date Signed: 02/07/2024 03:10:50 PM

Document Has Been Signed on 02/07/2024 03:10 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 RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:LE PETIT ELEPHANT PRESCHOOLFACILITY NUMBER:
283009161
ADMINISTRATOR:PAL PINTACSI, MILLIFACILITY TYPE:
850
ADDRESS:2645 LAUREL STREETTELEPHONE:
(707) 690-8797
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: 70DATE:
02/07/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:09 PM
MET WITH:Milli PintacsiTIME COMPLETED:
03:15 PM
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Licensing Program Analysts( Mindy Mohr and Glenn Ouye) met with licensee Milli Pintacsi to provide guidance on room 12 which will change the use from the south side of the classroom to the north side of the classroom. The bathroom and sinks will remain in use but the south side of the classroom will not be used. Children will be supervised during use of the restrooms and sink usage.

The licensee is submitting an updated sketch, however no fire inspection request will be required because the full classroom (12) has been fire cleared by the Napa Fire Dept and there is no change of capacity.

The licensee will start using the new side of the room on March 11, 2024.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
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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