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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
493006542
Report Date:
08/17/2022
Date Signed:
08/17/2022 11:16:11 AM
Document Has Been Signed on
08/17/2022 11:16 AM
- 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:
NORTH BAY CHILDREN'S CENTER P/S - MCDOWELL
FACILITY NUMBER:
493006542
ADMINISTRATOR:
NEAL, DEBBIE
FACILITY TYPE:
850
ADDRESS:
405 SOUTH MCDOWELL
TELEPHONE:
(707) 763-2000
CITY:
PETALUMA
STATE:
CA
ZIP CODE:
94954
CAPACITY:
39
CENSUS:
13
DATE:
08/17/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
09:00 AM
MET WITH:
Kristina Sisseck
TIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Kristina Sisseck regarding the implementation of a toddler option at this site. The program has two classrooms. One class will be for the preschool age children and another class for a toddler program. The licensee expects the toddler program to be for 12 children. There is sufficient square footage for the toddlers.
The outdoor area was also measured. The outdoor activity area square footage meets the square footage requirement for the maximum capacity but the facility will utilize a rotation waiver to share the outdoor area between the preschool and toddler programs at different times of the day. All of the outdoor equipment is age appropriate for toddlers and preschoolers.
The program would like to start the toddler program in November of 2022. The program will submit LIC200A to the department as well as an updated program to add the toddler option but there will be no change of capacity. The existing fire clearance will be used for the preschool and toddler programs at this site.
No deficiencies cited during the inspection.
SUPERVISOR'S NAME:
Leslie Lepori
TELEPHONE:
(707) 588-5060
LICENSING EVALUATOR NAME:
Glenn Ouye
TELEPHONE:
(707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE:
08/17/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/17/2022
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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