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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010176
Report Date: 12/20/2024
Date Signed: 12/20/2024 10:14:35 AM

Document Has Been Signed on 12/20/2024 10:14 AM - 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:NORTHGATE CHRISTIAN FELLOWSHIP - PRESCHOOLFACILITY NUMBER:
483010176
ADMINISTRATOR/
DIRECTOR:		AMANDA VERBISFACILITY TYPE:
850
ADDRESS:2201 LAKE HERMAN ROADTELEPHONE:
(707) 896-8799
CITY:BENICIASTATE: CAZIP CODE:
94510
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 33DATE:
12/20/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Amanda VerbisTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analysts (Glenn Ouye and Jaelyn Agbayani) met with Director Amanda Verbis to conduct a capacity increase case management visit. The application for the capacity increase from 75 preschoolers to 95 preschoolers was received by the department on November 1, 2024. The approved fire clearance was received on December 13, 2024.

LPA's measured the indoor activity space of four classrooms which equate to 4335 square feet. This exceeds the minimum square footage required per child for 95 children. There are nine toilets/urinals and nine sinks for the preschool age children to use.

All rooms have fire sprinklers and functioning smoke and carbon monoxide detectors and fire extinguishers.

The capacity increase to 95 preschool children is approved effective December 20, 2024. A new license which reflects the new capacity will be sent to the facility director.

No deficiencies cited during the inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2024
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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