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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 490107325
Report Date: 09/16/2019
Date Signed: 09/16/2019 04:30:37 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:WRIGHT EXTENDED CHILD CAREFACILITY NUMBER:
490107325
ADMINISTRATOR:GHILARDUCCI,VALERIEFACILITY TYPE:
840
ADDRESS:4389 PRICE AVENUETELEPHONE:
(707) 527-6724
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:150CENSUS: 0DATE:
09/16/2019
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
03:08 PM
MET WITH:Jason RiggsTIME COMPLETED:
04:44 PM
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On 09/16/19 Licensing Program Analyst (LPA), Amy Strother made an unannounced visit to Extended Child Care office located at 1745 Copperhill Pkwy Ste #5, Santa Rosa, CA 95403 and met with Executive Director, Jason Riggs for the purpose of reviewing staff records for Wright Extended Child Care. LPA Strother conducted an annual random inspection of Wright Extended Child Care on 09/09/19. Present during the inspection on 09/09/19 were 32 children, supervised by the director, Staff 1 (S1) 2 teachers, Staff 2 & 3 (S2 & S3) and a teacher aide, Staff 4 (S4). During today's file review, files for S1-S4 were reviewed, all of the required documents to be kept in staff records were present. Verification of education and experience was verified for S1. Staff 1 (S1) possessed current CPR and First Aid certification.

This report, was discussed with Executive Director, Jason Riggs. All licensing reports are public information and must be made available upon request for at least three years.

There were no Title 22 deficiencies cited during today's file review.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019
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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