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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493002535
Report Date: 02/27/2020
Date Signed: 02/27/2020 02:16:36 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:BETHEL CHILDREN'S CENTER OF SANTA ROSAFACILITY NUMBER:
493002535
ADMINISTRATOR:TORRES, TAMI JOFACILITY TYPE:
850
ADDRESS:1577 GUERNEVILLE ROADTELEPHONE:
(707) 527-0332
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:75CENSUS: 34DATE:
02/27/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Tami Jo Torres, DirectorTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) N. Cunningham made an unannounced Case Management inspection to the facility to inspect a gap (approximately 3 inches wide) between two fences located in the West corner of the play yard. LPA toured the outdoor play area and inspected the area where LPA previously observed a gap in-between two fences.

During today's inspection, LPA observed a post installed in-between the two fences to eliminate the gap. LPA photographed the area.

This report was reviewed and discussed with the Licensee. All licensing reports are public information and must be made available upon request. No citations were issued during today's visit.
Notice of Site Visit shall be posted for 30 days from today's inspection.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
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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