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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493008944
Report Date: 06/29/2023
Date Signed: 06/29/2023 10:57:14 AM

Document Has Been Signed on 06/29/2023 10:57 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:BRIGHT SKIES MONTESSORIFACILITY NUMBER:
493008944
ADMINISTRATOR:AISHWARYA KANCHARLAFACILITY TYPE:
850
ADDRESS:11201 MAIN STREETTELEPHONE:
(707) 665-9830
CITY:PENNGROVESTATE: CAZIP CODE:
94951
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
06/29/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Aishwarya KancharlaTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with the licensee to complete a capacity reduction. The facility will change from a capacity of 36 preschool children to 26 preschoolers. The application was received by the department on April 18, 2023. Due to the capacity decrease, no fire clearance is required. The facility will also be adding a infant program as well.

The facility will utilize two rooms for the preschool program. There are functional smoke and carbon monoxide detectors and fire extinguishers rated at 2A10BC.

The outdoor activity area for the preschool children is behind the building. There is sufficient wood chips for fall protection.

The capacity change from 36 to 26 preschool children is approved effective June 29, 2023.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
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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