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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283007874
Report Date: 11/20/2019
Date Signed: 11/20/2019 12:59:47 PM

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:CHILDREN'S COTTAGE CHILD CARE, INC. - INFANTFACILITY NUMBER:
283007874
ADMINISTRATOR:TIFFANY KEARFACILITY TYPE:
830
ADDRESS:1078 EAST AVENUETELEPHONE:
(707) 224-3825
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:20CENSUS: 16DATE:
11/20/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Tiffany KearTIME COMPLETED:
01:14 PM
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A required 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 file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
LPA toured the facility with the director at 11:05AM. This program operates along side of a preschool on the same site. Activity space for infants is separate from other age groups. Infant and toddlers each have separate classrooms and play yards.
The facility’s operating hours are 7:00 AM to 6:00 PM, Monday- Friday.
The facility was toured inside and outside 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. No Poisons are kept at facility but they can lock them in an outdoor shed. 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. The children's bathrooms are in safe and sanitary condition. Food prep areas are clean. Food is properly stored and refrigerated as needed. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. The LPA observed a working carbon monoxide detector in the facility. There were multiple charged fire extinguishers of at 2A 10:BC or larger.
The playground was free of hazards. The playground equipment and surface areas were in safe condition. There are rubber square interlocking mats and artificial turf for cushioning underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed.
The Director stated no weapons are stored on site and none were observed.
During today's inspection, staffing ratios were being met, and 8 infants were being supervised by 3 teachers & 8 toddlers were being supervised by 2 teachers. The facility was operating within the licensed capacity.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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: CHILDREN'S COTTAGE CHILD CARE, INC. - INFANT
FACILITY NUMBER: 283007874
VISIT DATE: 11/20/2019
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(8) infants records were reviewed at 11:50 AM, and contained signed admission agreements, medical assessments and Infant Needs and Services Plans. (5) staff records were reviewed at 12:00 PM and contained documentation of education and training, immunizations and current Mandated Reporter Training certificates.
At least three teachers possessed current Pediatric CPR and First Aid certifications. The sign-in/sign-out procedure was reviewed and in compliance.
This facility is not providing Incidental Medical Services (IMS). The Department’s IMS policy was discussed with the Director. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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: 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.
Notice of Site Visit shall be posted for 30 days from today's visit.
There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
LIC809 (FAS) - (06/04)
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