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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 280106261
Report Date: 07/20/2023
Date Signed: 07/20/2023 12:33:01 PM


Document Has Been Signed on 07/20/2023 12:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:YOUNG WORLD OF LEARNINGFACILITY NUMBER:
280106261
ADMINISTRATOR:PERSAUD, TINAFACILITY TYPE:
850
ADDRESS:3765 OXFORD STREETTELEPHONE:
(707) 252-9330
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:34CENSUS: 15DATE:
07/20/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:TIna PersaudTIME COMPLETED:
12:50 PM
NARRATIVE
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During the course of the investigation LPA observed teacher (S2) pick up a child (C7) by the back of the t-shirt while in a crawling position. Then, while holding onto the back of C7’s t-shirt, S2 picked up C7 where the entire body was off the floor at S2’s knee level in an attempt to move C7 back onto their nap mat. LPA immediately advised S2 to put the child back down on the ground and in response S2 stated "that is what we do here". S2 further stated "I usually grab the kids by their shirt sleeves"


The following violation of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.

Exit interview conducted, and report was reviewed with Licensee Tina Persaud.


A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
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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Document Has Been Signed on 07/20/2023 12:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405


FACILITY NAME: YOUNG WORLD OF LEARNING
FACILITY NUMBER: 280106261

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/20/2023
Section Cited
CCR
101233(a)(1)

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 The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons.

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Licensee has made staffing changes and will follow up on additional staff training on personal rights and how to appropriately handle children. Licensee will have all staff watch the Personal Rights training video on the CCLD website.
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This requirement is not met as evidenced by: during the course of the investigation LPA observed a child who was picked up by the back of his shirt to be moved from one place to another.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
LIC809 (FAS) - (06/04)
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