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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
483008714
Report Date:
02/09/2024
Date Signed:
02/09/2024 12:44:22 PM
Document Has Been Signed on
02/09/2024 12:44 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
,
1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA
,
CA
95405
FACILITY NAME:
LITTLE ANGELS PRESCHOOL
FACILITY NUMBER:
483008714
ADMINISTRATOR:
LINDA MARGARET REID
FACILITY TYPE:
850
ADDRESS:
1350 AMADOR STREET
TELEPHONE:
(707) 652-5642
CITY:
VALLEJO
STATE:
CA
ZIP CODE:
94590
CAPACITY:
12
TOTAL ENROLLED CHILDREN:
12
CENSUS:
5
DATE:
02/09/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
12:30 PM
MET WITH:
Linda Reid
TIME COMPLETED:
01:15 PM
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Licensing Program Analyst Glenn Ouye arrived to deliver an amended report for the reported dated 1/12/24. The report was amended because the facility should not have received a citation for a volunteer who did not have criminal background clearance. The volunteer only works two hours a day.
No deficiencies cited during the visit.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Glenn Ouye
LICENSING EVALUATOR SIGNATURE
:
DATE:
02/09/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
02/09/2024
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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