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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 280100561
Report Date: 02/27/2020
Date Signed: 02/27/2020 10:33:23 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:NAPA VALLEY COOPERATIVE NURSERY SCHOOLFACILITY NUMBER:
280100561
ADMINISTRATOR:WARE, LORRAINEFACILITY TYPE:
850
ADDRESS:650 RANDOLPH STREETTELEPHONE:
(707) 224-3319
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:24CENSUS: 20DATE:
02/27/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:54 AM
MET WITH:Lorraine WareTIME COMPLETED:
10:48 AM
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A annual inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. The facility file was reviewed prior to this visit. A review of the personnel report on 02/27/2020 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
This facility operates as a Cooperative Nursery School.
During today's visit, there were 20 preschoolers in care with 1 teacher/ Director and 6 parents. During today's inspection, staffing ratios were being met and the facility was operating within the licensed capacity.
The preschool is located in Rooms #1 and #2 at the First United Methodist Church. The facility operates 9am- 12pm, Monday through Friday, between the months of September and May.
The facility was toured inside and outside with the Director at 8:50 am and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. There are currently no poisons on the premises. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors on the playground. The children's bathrooms are in safe and sanitary condition. A waiver for an additional bathroom was on file and is still needed.
Snacks are provided. A menu was posted. Garbage containers containing solid waste have tight fitting lids. The LPA observed a working carbon monoxide detector and a charged fire extinguisher of at least 2A 10: BC or larger present in the room. The playground was free of hazards. The playground equipment and surface areas were in safe condition. There is pea gravel for cushioning underneath climbing structures and/or play equipment to absorb falls.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
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,
, CA
FACILITY NAME: NAPA VALLEY COOPERATIVE NURSERY SCHOOL
FACILITY NUMBER: 280100561
VISIT DATE: 02/27/2020
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The Director stated that there were no bodies of water and none were observed. The Director stated that no weapons are stored on site and none were observed.
The sign-in/sign-out procedure was reviewed and in compliance. One staff record was reviewed at 09:30am for immunizations, Mandated Reporter Certificates and education transcripts and were complete. Ten children’s records were reviewed at 09:30am, and contained signed admission agreements.
Incidental Medical Services (IMS) policy was discussed. This facility is not administering any IMS at this time as there is not a need. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

This report, as well as the AAP Guide to Safe Sleep, Safe Sleep in Childcare brochure, What does a Safe Sleep Environment Look Like brochure & Safe Sleep Concepts handout, were reviewed and discussed with the Director. The Effects of Lead Exposure brochure has been reviewed with and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years. No deficiencies were cited today.


Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
LIC809 (FAS) - (06/04)
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