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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010225
Report Date: 09/04/2024
Date Signed: 09/04/2024 04:23:25 PM

Document Has Been Signed on 09/04/2024 04:23 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:LA CASITA DAY SCHOOLFACILITY NUMBER:
493010225
ADMINISTRATOR/
DIRECTOR:		IRENE SILVAFACILITY TYPE:
850
ADDRESS:4044 MAYETTE AVENUETELEPHONE:
(707) 536-1241
CITY:SANTA ROSASTATE: CAZIP CODE:
95405
CAPACITY: 134TOTAL ENROLLED CHILDREN: 58CENSUS: 41DATE:
09/04/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:26 PM
MET WITH:Irene SilvaTIME VISIT/
INSPECTION COMPLETED:
04:38 PM
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During a Case Management visit to the facility, Licensee Irene Silva (L1) informed Licensing Program Analyst (LPA) Strother that she has prepared an outdoor area that was previously not used by children for the purpose of using it with the Toddlers. L1 stated that the space was previously used for storage and not measured or inspected for use by children during the initial licensing process. LPA and L1 measured the space during today's inspection. LPA completed a Capacity Worksheet to add to the Capacity Worksheet currently on file. The new toddler space measures for 15 children, and when added to the previous Capacity Worksheet, equals a total maximum capacity for the toddlers yards of 47. The new space, labelled as "2nd Toddler Play Area" on the facility sketch by L1 was observed to be covered in artificial turf, with a shock pad underneath. LPA observed a balance beam, blocks, tricycles and small portable play structure in the yard. The new "2nd Toddler Play Area" is approved for use as of today, September 4, 2024.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE: DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2024
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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