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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009390
Report Date: 05/11/2023
Date Signed: 05/11/2023 12:07:55 PM


Document Has Been Signed on 05/11/2023 12:07 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:NAPA COUNTY THERAPEUTIC CHILD CARE CNTR-INF/TODLRFACILITY NUMBER:
283009390
ADMINISTRATOR:BROWN, TOBIAHFACILITY TYPE:
830
ADDRESS:2751 NAPA VALLEY CORP BLDG BTELEPHONE:
(707) 253-6935
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:16CENSUS: DATE:
05/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Maria RamirezTIME COMPLETED:
11:25 AM
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A required one-year inspection was made to the facility by Licensing Program Analyst (LPA), Mindy Mohr. LPA met with Director, Maria Ramirez. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff have received criminal record and child abuse index clearances or exemptions. Facility representative, Maria, was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. This facility operating hours are Monday - Thursday 8:00 am- 4:30pm. Sign in/out records were reviewed and in compliance. LPA observed food prep areas are clean. Food is properly stored and refrigerated as needed. The center’s isolation area for any child who becomes ill while in care is located in the Director's office There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. Menus are posted . Items which could pose a danger to children (such as dete.rgents, cleaning compounds and medications) were observed to be inaccessible to children. Director stated there are no poisons in the facility, and none were observed during this inspection.



The changing table was within arm’s reach of a sink and had a border that was at least 1.5 inches, and was covered with washable plastic. There is a working carbon monoxide detector and a charged 2A-10:BC or larger fire extinguisher in the facility. Infants shall be visually supervised at all times including when infants are in the nap room. 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. There is artificial turf & pour & play rubber mat material for cushioning underneath climbing structures and/or play equipment to absorb falls.

(Continued on LIC 809-C)
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:
DATE: 05/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/11/2023
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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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: NAPA COUNTY THERAPEUTIC CHILD CARE CNTR-INF/TODLR
FACILITY NUMBER: 283009390
VISIT DATE: 05/11/2023
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This center is licensed for 16 children. During today's inspection, staffing ratios were being met, 6 children were being supervised by 5 staff. The facility was operating within the licensed capacity and ratio requirements. At least one staff member present during the inspection Maria Ramirez possessed current CPR and First Aid certifications, which expire 06/2024. Two children’s records were reviewed at 10:45 AM and contained complete and current information as required. Five staff files were reviewed at 11:00 AM and contained all records as required.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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: http://www.ada.gov/childqanda.htm

There were no Title 22 deficiencies cited during today's inspection.

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.

Exit interview conducted and report was reviewed with facility representative, Maria Ramirez.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023
LIC809 (FAS) - (06/04)
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