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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010067
Report Date: 09/17/2021
Date Signed: 09/17/2021 03:15:44 PM

Document Has Been Signed on 09/17/2021 03:15 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:MISS DAWN'S DAYCARE LLC-PRESCHOOLFACILITY NUMBER:
493010067
ADMINISTRATOR:WARWICK, DAWNFACILITY TYPE:
850
ADDRESS:1180 ELVERA STREETTELEPHONE:
(707) 849-7318
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY: 26TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
09/17/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Dawn WarwickTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with the applicant to discuss the fire clearance, the increase of the initial capacity from the initial 26 children to 29 children. LPA and applicant also discussed future plans if renovations occur which will allow for a possible new capacity of 32 children based on square footage. The location has two toilets and urinal and three sinks.

LPA received an updated LIC200A for the increase of capacity. The applicant is working on the facility program and will submit to LPA Ouye. Upon receipt of the facility program and the fire clearance, LPA Ouye will return with LPA Yang to conduct the final prelicensing inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2021
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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