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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009161
Report Date: 12/03/2024
Date Signed: 12/03/2024 04:40:25 PM

Document Has Been Signed on 12/03/2024 04:40 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/
DIRECTOR:		PAL PINTACSI, MILLIFACILITY TYPE:
850
ADDRESS:2645 LAUREL STREETTELEPHONE:
(707) 690-8797
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 58DATE:
12/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:56 PM
MET WITH:Milli PintacsiTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
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On 12/03/2024 Licensing Program Analysts (LPAs) Mindy Mohr and Jaelyn Agbayani made an unannounced case management visit and met with Licensee Milli Pintacsi (L1) to conduct a capacity decrease from 100 preschoolers to 83 preschoolers. The capacity change application was received on 11/04/2024.

The facility classrooms were measured on 09/11/2024.

An approved fire clearance was received on 12/03/2024 for 83 preschoolers in classrooms 5, 6, 7, 8, 10 & 12.


The capacity change to 83 preschoolers is approved and will be effective 12/03/2024.


There were no Title 22 deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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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