Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540405030
Report Date: 10/05/2015
Date Signed 10/05/2015 03:31:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME:GREENHOUSE MONTESSORI SCHOOLFACILITY NUMBER:
540405030
ADMINISTRATOR:HOFFMAN, ANNEFACILITY TYPE:
850
ADDRESS:4143 S. DANS LANETELEPHONE:
(559) 625-8385
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:82CENSUS: 68DATE:
10/05/2015
TYPE OF VISIT:CollateralANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director Anne HoffmanTIME COMPLETED:
03:45 PM
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LPA's Michael Duarte, Carmen Sastre and Norma Lomeli at facility today to conduct a case management visit. LPAs toured the facility, interviewed staff, children and reviewed files. No deficiencies cited today.
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 243-8106
LICENSING EVALUATOR NAME: Michael DuarteTELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2015
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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