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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 173010119
Report Date: 10/15/2021
Date Signed: 10/15/2021 02:04:20 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:GENERATIONS, LLC - P/SFACILITY NUMBER:
173010119
ADMINISTRATOR:YVONNE QUINTEROFACILITY TYPE:
850
ADDRESS:650 E HWY 20TELEPHONE:
(707) 395-5437
CITY:UPPER LAKESTATE: CAZIP CODE:
95485
CAPACITY:18CENSUS: 0DATE:
10/15/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Yvonne QuinteroTIME COMPLETED:
11:39 PM
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Licensing Program Analyst (LPA) Glenn Ouye met Director Yvonne Quinero to conduct a prelicensing inspection of the preschool program of this combination center. The application was submitted on September 20, 2021. The department has received the approved fire clearance.

LPA Ouye inspected the interior and exterior areas of the facility. The preschool has a main activity room, two smaller activity rooms, an office and a kitchen. There are two toilets and two sinks for the children. There is a separate staff restroom. The interior and exterior square footage supports the application capacity. The smoke and carbon monoxide detectors are functional and notify the local fire department. There is a fire extinguishers rated at 3A40BC. There is a fully stocked first aid kit. LPA and director discussed incidental medical services plan and the requirements. There are sufficient age appropriate toys, furniture and equipment, including sleeping cots for the children.

There is a lawn and play structure with shade for the children. There is also a gazebo structure that provides shade for the children. The play structure has sufficient fall cushioning. The outdoor play area is fully fenced.

The director is aware that staff and volunteers must have criminal record clearance to work or volunteer in the facility.



continued on next page (LIC809C)
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME: GENERATIONS, LLC - P/S
FACILITY NUMBER: 173010119
VISIT DATE: 10/15/2021
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The director indicated that she still needs to complete the following:
-Installing rubber mats in the outdoor area for children to walk and ride the tricycles
-Replacing several fence boards
-Move shed in outdoor activity area
-Move shade gazebo

The application will be ready for licensure upon confirmation of the aforementioned items installed.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021
LIC809 (FAS) - (06/04)
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