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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009699
Report Date: 10/14/2022
Date Signed: 10/14/2022 12:47:32 PM


Document Has Been Signed on 10/14/2022 12:47 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:VERITAS CHRISTIAN ACADEMYFACILITY NUMBER:
283009699
ADMINISTRATOR:VANMAREN, RENEEFACILITY TYPE:
850
ADDRESS:2659 FIRST STREET, SUITE BTELEPHONE:
(707) 253-7226
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:75CENSUS: DATE:
10/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Renee Vanmaren, DirectorTIME COMPLETED:
01:00 PM
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A case management inspection was conducted for the purpose of confirmation of removal of an excluded individual.
LPA Kevin O'Connell met with the Director, Renee Vanmaren.
The Director stated that the individual is not present at the facility or working at the facility. The Director confirmed that she is aware that the individual is not permitted to be present at the facility at any time when children are in care.
LPA toured the facility and reviewed the employee roster. The Director states that many years ago this individual had criminal record clearance for the purpose of chaperoning on field trips for their child.
LPA has verified the individual is not present or employed at the facility.
LPA verified that the excluded individual has been removed from the criminal record clearance roster. Verification of removal is complete. This report was reviewed and discussed with the center Director.

All licensing reports are public information and must be made available upon request for at least three years. A notice of Site Visit must be posted for 30 days from today.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:
DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/14/2022
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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