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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010463
Report Date: 07/19/2024
Date Signed: 07/19/2024 11:16:56 AM

Document Has Been Signed on 07/19/2024 11:16 AM - 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:YWCA CHILD CARE CENTER - HEALDSBURGFACILITY NUMBER:
493010463
ADMINISTRATOR/
DIRECTOR:		CHERYL MOOREFACILITY TYPE:
860
ADDRESS:1557 HEALDSBURG AVENUETELEPHONE:
(707) 546-7177
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 0DATE:
07/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Cheryl MooreTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Cheryl Moore who is the Director of Child Care Services. This was a consultative visit after LPA Ouye and Cheryl Moore were communicating via email discussing specific requirements for her newly licensed site. LPA Ouye also met the Site Supervisor Blanca Hernandez.

Ms. Moore also provided LPA Ouye with a tour of the infant and preschool classrooms and outdoor area. The program setting up the location to start providing service on Monday, July 22, 2024.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2024
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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