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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010201
Report Date: 07/29/2022
Date Signed: 07/29/2022 02:40:18 PM

Document Has Been Signed on 07/29/2022 02:40 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:GROW WITH ME ECE PRESCHOOL AND CHILDCARE CENTERFACILITY NUMBER:
493010201
ADMINISTRATOR:LEANNE NELMESFACILITY TYPE:
850
ADDRESS:45 HENRY STREETTELEPHONE:
(707) 396-8324
CITY:COTATISTATE: CAZIP CODE:
94931
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
07/29/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Leanne NelmesTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Glenn Ouye, met with the applicant to verify completion of final required items to complete the licensing process. LPA Ouye verified that the following has been completed:

Complete toilet install in toddler bathroom
Remove staples in walls in rear classroom
Install additional wood chips in preschool outdoor activity area to provide fall protection.
Reinstall gate and fencing in the outdoor activity area.
Provide all follow up document to complete the application.

The facility has met the licensing requirements and the preschool license with the toddler option is approved today (July 29, 2022) for 30 preschool children, six of which may be in the toddler option.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2022
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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