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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 485407834
Report Date: 10/12/2022
Date Signed: 10/12/2022 11:56:01 AM

Document Has Been Signed on 10/12/2022 11:56 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:LEARNING EXPERIENCE-INFANT, THEFACILITY NUMBER:
485407834
ADMINISTRATOR:JENNIFER HANSENFACILITY TYPE:
830
ADDRESS:1959 PEABODY ROADTELEPHONE:
(707) 305-4336
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 22DATE:
10/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jennie LuoTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Glenn Ouye arrived to conduct a visit to increase the capacity of the facility from 32 to 46 infants ages birth to 2 years of age.

The application for the capacity increase was received by the department on September 6, 2022. The fire inspection was approved on October 5, 2022. The fire clearance has specific capacity requirements for each infant classroom as shown below:
Infant room capacity: 10 children.
Toddler room A: 12 children.
Toddler room B: 12 children.
Toddler room C: 12 children.
Total infant capacity is 46 children under the infant license.

The four classrooms were inspected. Each room has a changing table within arms reach of a sink, Children in the infant room have sufficient cribs for the napping infants. The children in the toddler rooms have mats for napping. There is sufficient furniture, equipment and toys for the children in all four classrooms.

The capacity increase is approved for 46 infants effective October 12, 2022.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2022
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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