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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483007757
Report Date: 03/18/2022
Date Signed: 03/18/2022 04:42:14 PM

Document Has Been Signed on 03/18/2022 04:42 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:CIRCLE OF FRIENDS CHILD DEVELOPMENT CENTER - P/SFACILITY NUMBER:
483007757
ADMINISTRATOR:THOMAS, ROSELLA E.FACILITY TYPE:
850
ADDRESS:3330 DOVER AVENUETELEPHONE:
(707) 425-2717
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 88TOTAL ENROLLED CHILDREN: 42CENSUS: 12DATE:
03/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Center Director Danielle HaynesTIME COMPLETED:
04:50 PM
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Licensing Program Anaylst (LPA) Elpidia Hernandez Torres, conducted a case management inspection to follow up on a few incidents that occurred resulting in injuries. LPA made observations of the play areas and asked some questions of staff. LPA observed three teachers supervising 12 children in the out door play areas. LPA asked of the incidents that occurred and where they took place. Center Director stated one of the incidents happened with a large circle swing that was removed days after the incident to prevent another incident from occurring. Right after each incident staff evaluated the play areas to further examine what can be done in the play space to ensure similar incidents don't occur. Staff have also made it appoint to engage in conversation with children to better help them engage in safe play with one another. Center Director also stated staff are reminded to engage in safe play with children to keep them occupied while playing outdoors, as a form of providing active supervision. LPA observed the active supervision in practice when in the outdoor play areas.

No deficiencies cited at this time in the areas observed, Notice of site visit shall be posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2022
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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