Office review·December 18, 2025

On 12/18/2025 Licensing Program Analysts (LPAs), Stephanie Vega-Gonzalez and Nancy Her met with applicant, Deann Gri ssom in Office. The purpose of this In-Office visit was to review applicants\342\200\231 application for a change of component. The following licensing forms and documents were reviewed with applicant. LIC 200A Application for Child Care Center License LIC 308 Designation of Facility Responsibility LIC 500 Personnel Report LIC 610 Emergency Disaster Plan for Child Care Centers LIC 999 Facility Sketch LIC 610 Letter of permission LIC 9148 Earth quake preparedness checklist Director qualifications Parent Handbook Job Description Daily Schedule for preschool, school-age, and infants List of furniture (Continue on LIC809-C) The following items are needed to be submitted to the Department to complete the application. Parent Handbook Job Descriptions Director verification of infant units LIC 9108 for Kirsten Record Keeping Orientation for Kirsten Preventative Health and Safety for Kirsten LIC 9148 Earthquake Preparedness Checklist Staff Handbook Incidental Medical Services Plan Updated School Age schedule of daily activities LPAs discussed with applicant that the Department will send out a fire inspection request. Once a fire clearance has been granted, and all documents have been received, a pre-licensing inspection will be scheduled. Exit interview conducted and report was reviewed with the applicant, Deann Grissom Applicant understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.