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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493005003
Report Date: 03/10/2022
Date Signed: 03/10/2022 12:20:30 PM


Document Has Been Signed on 03/10/2022 12:20 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:LITTLE LAMBS PRESCHOOLFACILITY NUMBER:
493005003
ADMINISTRATOR:MARIA ELENA OBERTIFACILITY TYPE:
850
ADDRESS:1402 UNIVERSITY STREETTELEPHONE:
(707) 433-5779
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY:22CENSUS: 6DATE:
03/10/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:Mark AireyTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Amy Strother arrived at the facility for the purpose of thr Center returning to active status. On 05/07/20 the Department received notification the center was closed due to the COVID-19 pandemic. On 08/31/21 the Department received form LIC9211 Request for Inactive Child Care License Status beginning 09/01/21 through 06/02/2022. On 02/22/22 LPA Strother received an email from Center Director, Mark Airey requesting to end inactive status and return to active status. During today’s visit, LPA met with Center Director, Mark Airey (D1).

A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. D1 was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

During today’s visit the facility was toured and the facility sketch verified. Operating hours are 8:00am – 3:00pm Monday – Friday. One staff was providing care and supervision to 6 preschool children, operating within the licensed capacity and ratio requirements. At least one staff (D1), present during the inspection possessed current CPR and First Aid certifications, which expires on 01/2024. LPA verified that the facility has a current fire extinguisher; rated at least 2A10BC, functioning smoke alarm and carbon monoxide detector. LPA Strother reviewed form LIC311A Records to be maintained at the facility with D1.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

There were no Title 22 deficiencies cited during today's inspection.

Exit interview conducted and report was reviewed with Center Director, Mark Airey .

License is ready to return to active status.

SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2022
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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