493009283-9-14-2022-01-CC-ASTR-CJA289-20220914170957

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 493009283
Report Date: 09/14/2022
Date Signed: 09/14/2022 05:10:03 PM

Document Has Been Signed on 09/14/2022 05:10 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:	EARLY HEAD START - VINCE HARPER TODDLER		FACILITY NUMBER:	493009283
ADMINISTRATOR:	GROCOTT, LISA		FACILITY TYPE:	850
ADDRESS:	1336 TEMPLE STREET		TELEPHONE:	(707) 528-0803
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95404
CAPACITY:	16	CENSUS: 0	DATE:	09/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:42 PM
MET WITH:	Teresa King		TIME COMPLETED:	05:20 PM

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A required one year inspection was made to the facility by Licensing Program Analyst (LPA), Amy Strother. LPA met with Director, Teresa King (D1). The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff have received criminal record and child abuse index clearances or exemptions. Facility representative, Teresa King 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.

This facility was formerly named Head Start – Martin Luther King Jr. A name and capacity change was approved by the Department on 08/16/22. The facility is a Preschool license, operating two toddler components, with two groups of up to 8 toddlers in two distinct areas. The facility’s operating hours are 8:00am-5:00pm, Monday-Friday, with children present from 8:00am - 3:30pm. The facility was toured inside and outside, and the floor and yard plan submitted by the licensee were verified. Sign in/out records contained on the Child Plus App were reviewed and in compliance. Items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. D1 stated there are no poisons in the facility, and none were observed during this inspection. LPA observed the toys, floors, desks and other equipment and surfaces are clean, toxic free, safe, and in good condition. There is uncontaminated drinking water available to children indoors and outdoors using individual water bottles. The children's bathroom is in safe and sanitary condition. The center’s isolation area for any child who becomes ill while in care is located in the staff office. LPA observed food prep areas are clean. Food is properly stored and refrigerated as needed. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. Menus are posted in the kitchen and given to each family monthly. There is a working smoke detector, carbon monoxide detector and fire extinguisher in the facility. Last emergency drill was conducted on 06/27/22. The facility has been granted a rotational waiver for the outdoor play area. The outdoor toddler area is shared on a rotational schedule with each set of toddlers and with Head Start - Barbara Daniels-Love (490106572).

Continued on LIC 809-C.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: EARLY HEAD START - VINCE HARPER TODDLER	FACILITY NUMBER: 493009283
	VISIT DATE: 09/14/2022

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LPA observed the playground equipment and surface areas were in safe condition. There is artificial turf cushioning underneath play equipment to absorb falls. There were no bodies of water observed on the site. D1 stated no weapons are stored on site, and none were observed.

During today's inspection, the Director and two staff were present, but the children had an early pick up scheduled due to a staff meeting. No children were present during today’s inspection. At least one staff member present, D1, during the inspection possessed current CPR and First Aid certifications, which expire 04/2023. One child’s record was reviewed and contained complete and current information as required. Three staff files were reviewed and contained all records as required.

This facility provides Incidental Medical Services – IMS. LPA did not review storage of medication and equipment/supplies, or review children’s, personnel, and administrative records due to no medication being stored on site at this time. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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 facility representative, Teresa King.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

LIC809 (FAS) - (06/04)

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