483007744-1-3-2023-01-CC-EHTS-CMQR2S-20230103113849

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 483007744
Report Date: 01/03/2023
Date Signed: 01/03/2023 11:38:57 AM

Document Has Been Signed on 01/03/2023 11:38 AM - 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:	LINNEAR, GLORIA FCCH		FACILITY NUMBER:	483007744
ADMINISTRATOR:	LINNEAR, GLORIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 422-2075
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	14	CENSUS: 6	DATE:	01/03/2023
TYPE OF VISIT:	Case Management - Legal/Non-compliance	UNANNOUNCED	TIME BEGAN:	08:57 AM
MET WITH:	Licensee Gloria Linnear		TIME COMPLETED:	11:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts ( LPAs), Augustin and Hernandez Torres conducted a required Case Management- Leagal/Non-Compliance visit to follow up with the licensee, Gloria Linnear (LS) on the Plan of Correction from the June 09th 2021 Non-Compliance Conference (NCC), which included discussion of: - All staff would undergo immediate training - There would be a search for new staff hires - Licensee's (LS) voluntary agreement to participate in the departments Technical Support Program (TSP) - UIRs would be reported per regulations - Facility Manager (S1) would complete 20 hours of early childhood development online learning course prior to the 90th day of S1's probationary period ending LPAs Augustin and Hernandez Torres asked Licensee (LS) for assistant's (S2) file. LPAs reviewed S2's file and found all items required were produced. S2 is present M-F 03:00PM- 06:30PM. Licensee stated she did complete TSP in July 2022. TSP reviewed files with Licensee and all required documentation. LPA Augustin reviewed reporting requirements with LS, LS stated Unusual Incident Reports (UIR) are required to be reported the day they occurred via phone call and the written report. LS demonstrated understanding the requirement to be present at the facility at least 80% of the time, and based on the licensee's statement licensee is complying with this requirement. Continued on 809-C

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres	TELEPHONE: (707) 771-5568
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2023

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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LINNEAR, GLORIA FCCH	FACILITY NUMBER: 483007744
	VISIT DATE: 01/03/2023

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LPA Hernandez Torres asked LS for completed training certificate from Child Care Initiative Project (CCIP) registered on 02/2022. As of 06/13/2022, S1 is no longer employed at the facility, and as such, the evidence of completion for 20 hours CCIP training is no longer required. LS confirmed she did not complete that training and does not have access or knowledge of using a computer, however; LS produced a certificate of completion which validated she completed three hours on Trauma Informed Care Training & coaching on 01/11/22 & 01/18/22. LPAs discussed and encouraged LS to compete additional training, and LS agreed to complete one additional training course in person or online and to submit her certificate of completion to the Department in a timely manner.

This report was reviewed and discussed with Licensee. There were no violation(s) of Title 22 cited during visit.
Notice of Site Visit shall be 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 the Licensee, Gloria Linnear. Appeal rights were provided

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres	TELEPHONE: (707) 771-5568
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2023

LIC809 (FAS) - (06/04)

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