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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010230
Report Date: 07/29/2022
Date Signed: 07/29/2022 02:39:41 PM

Document Has Been Signed on 07/29/2022 02:39 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-INFFACILITY NUMBER:
493010230
ADMINISTRATOR:LEANNE NELMESFACILITY TYPE:
830
ADDRESS:45 HENRY STTELEPHONE:
(707) 396-8324
CITY:COTATISTATE: CAZIP CODE:
94931
CAPACITY: 30TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/29/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Leanne NelmesTIME COMPLETED:
02:10 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:

Installation of the 4 foot tall partition separating the infant sleep area from the infant activity area.
Installing the 4 foot tall outdoor fencing surrounding the outdoor activity area.
Install railings for the deck and both sides of the outdoor stairs.
Install shade sails above the outdoor activity area.

The facility has met the licensing requirements and the infant license is approved today (July 29, 2022) for 8 infants.
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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