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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493008741
Report Date: 10/06/2021
Date Signed: 10/06/2021 09:49:13 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:SASSARINI PRESCHOOLFACILITY NUMBER:
493008741
ADMINISTRATOR:BELL, LISAFACILITY TYPE:
850
ADDRESS:652 FIFTH STREET WESTTELEPHONE:
(707) 935-6028
CITY:SONOMASTATE: CAZIP CODE:
95476
CAPACITY:24CENSUS: 15DATE:
10/06/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Lisa Bell, DirectorTIME COMPLETED:
10:05 AM
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LPA, Kevin O'Connell made a case Management inspection to add a room (portable) for additional space to assist in keeping children spread out during the Covid pandemic. This is not an increase of capacity.
The intent of the room is to be used for overflow during rainy days, bad air days when children cannot be outside.
Room 6.9 was inspected for use and is located next to the play yard which is just outside of the main classroom. The children will continue to use the bathrooms of the main classroom when needed as there are none in room 6.9. Fire Marshall approval was given on 9/27/21.
There is a charged fire extinguisher hanging on the inside wall near the entrance. Some electrical outlets need plugs. This room will not be used for napping.
Before approval for use the following will need to be provided to CCL:
Electrical outlet covers (pictures)
Functioning Carbon Monoxide Detector in room 6.9. (video)

There were no violations of Title 22 observed today.
A 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: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
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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