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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009533
Report Date: 06/29/2023
Date Signed: 06/29/2023 12:52:23 PM

Document Has Been Signed on 06/29/2023 12:52 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:RAINBOW BRIDGE MONTESSORI IIFACILITY NUMBER:
493009533
ADMINISTRATOR:KANCHARLA, AISHWARYAFACILITY TYPE:
850
ADDRESS:70 WILLIAM STREETTELEPHONE:
(707) 795-6666
CITY:COTATISTATE: CAZIP CODE:
94931
CAPACITY: 23TOTAL ENROLLED CHILDREN: 23CENSUS: DATE:
06/29/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Aishwarya KancharlaTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with the license to conduct a capacity decrease of the preschool program. The program is going from 23 preschool children to 10 children all of which will be toddlers. The program will serve children age 18 months to 36 months of age. The center also has an infant program. No fire clearance will be required due to the decrease of capacity.

The program will use a classroom and the kitchen area. There is sufficient furniture, equipment and toys for the children. There is one toilet and one sink for the toddler children. There is a functioning smoke and carbon monoxide detectors as well fire extinguisher rated at least 2A10BC. There is also sufficient outdoor equipment and toys for the children. The facility will use a rotational activity waiver to share the outdoor area with the infant program.

The preschool/toddler component license is approved effective today, 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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