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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
493009469
Report Date:
05/09/2024
Date Signed:
05/09/2024 02:08:43 PM
Document Has Been Signed on
05/09/2024 02:08 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:
NORTH BAY CHILDRENS CENTER FITCH MOUNTAIN
FACILITY NUMBER:
493009469
ADMINISTRATOR:
SMITH, JOLEYNN
FACILITY TYPE:
850
ADDRESS:
520 MONTE VISTA AVE. RM 6-9
TELEPHONE:
(707) 473-4382
CITY:
HEALDSBRUG
STATE:
CA
ZIP CODE:
95448
CAPACITY:
66
CENSUS:
30
DATE:
05/09/2024
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME BEGAN:
01:00 PM
MET WITH:
Joleynn Smith
TIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Glenn Ouye met with director Joleynn Smith to discuss a self reported incident where two children who were playing in the outdoor playground and in a little house. There were two children playing in the small house and had their pants down. One child was telling the other to "spank my butt". The parents of one of the children told the director about the incident. The director communicated with the Program Director and the Area Manager to evaluate how to blind spot that the little house creates.
The Site Supervisor said that she has place temporary construction fencing around the little house so children cannot enter the little house. She said that they are either going to increase the window sizes on the little house or remove the little house all together The Site Supervisor also said that she has spoke with staff regarding necessary supervision and blind spots.. She has been in communication with the parents of the involved children so they are aware how the facility is handling the situation.
LPA asked the Site Supervisor to let the department know what she plans to do regarding the tiny house.
There are no deficiencies cited as a result of the UIR.
SUPERVISOR'S NAME:
Leslie Lepori
TELEPHONE:
(707) 588-5060
LICENSING EVALUATOR NAME:
Glenn Ouye
TELEPHONE:
(707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE:
05/09/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/09/2024
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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