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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009256
Report Date: 10/14/2021
Date Signed: 10/14/2021 01:56:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:MARY BIRD EARLY CHILDHOOD EDUCATION CENTERFACILITY NUMBER:
483009256
ADMINISTRATOR:ANNA MANSKARFACILITY TYPE:
850
ADDRESS:420 EAST TABOR AVENUETELEPHONE:
(707) 438-3684
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:216CENSUS: 55DATE:
10/14/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:18 PM
MET WITH:Director Anna ManskarTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Elpidia Hernandez Torres conducted an unannounced case management visit to discuss and review Covid-19 protocols and sign in-/ out procedures, and to observe/ tour the campus. LPA walked through the daycare and observed each classroom within teacher/ child ratio. All staff and children were in compliance wearing face masks both in the classroom and while outdoors. Director was able to provide LPA with Covid-19 protocols and procedures document, as well as Covid-19 decision forest document. LPA also observed each classroom had their own sign in/out cart which had additional masks, thermometer, hand sanitizer, clean pens and a container for dirty pens, a laminated sign which had all symptoms listed which parents have to verbally reply to prior to signing in child. If parents reply no to all then child is visually screened and taken their temperature, parents then sign the child in and document the child's temperature. Each classroom also had signs demonstrating covering nose when sneezing and how to wash their hands. Director was able to discuss scenarios and what the protocol is if a child tests positive or is exposed, and also explained the protocols for staff who have tested positive or are exposed. Both protocols comply with Solano county office of public health and State child care guidance.

No deficiencies cited during the site visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Elpidia Hernandez TorresTELEPHONE: (707) 771-5568
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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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