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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010396
Report Date: 08/07/2023
Date Signed: 08/07/2023 12:49:03 PM

Document Has Been Signed on 08/07/2023 12:49 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:CLLAIMM ACADEMY 2FACILITY NUMBER:
483010396
ADMINISTRATOR:MARENA SIMMONSFACILITY TYPE:
840
ADDRESS:1241 ANDERSON DRIVETELEPHONE:
(707) 712-6007
CITY:SUISUN CITYSTATE: CAZIP CODE:
94585
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: DATE:
08/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Marena SimmonsTIME COMPLETED:
01:00 PM
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Licensing Program Analyst Glenn Ouye met with applicant, Marena Simmons to conduct a capacity determination inspection for the new facility which is near construction completion.

The indoor school age area will support up to eleven school age children.
The interior has sufficient toilets and sinks to meet the capacity demands.

The outdoor activity area will also support the eleven children. The exterior fencing must still be installed and a surface must be installed in the bio-retention area. The facility project coordinator is working with the City of Suisun to engineer the surface which will meet the demands of the city.

When the outdoor fencing and activity area is completed and the department has an approved fire clearance, the facility will be ready for licensure. l
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2023
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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