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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009469
Report Date: 07/26/2022
Date Signed: 07/26/2022 11:04:04 AM


Document Has Been Signed on 07/26/2022 11:04 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 CHILDRENS CENTER FITCH MOUNTAINFACILITY NUMBER:
493009469
ADMINISTRATOR:SMITH, JOLEYNNFACILITY TYPE:
850
ADDRESS:520 MONTE VISTA AVEUNE, RM 8&9TELEPHONE:
(707) 473-4382
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY:54CENSUS: DATE:
07/26/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kristina Sisseck and Joleynn SmithTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Kristina Sisseck to conduct a capacity determination visit and to consult regarding the addition of another classroom which will allow the licensee to operate a toddler option which will be added in the future.

Topic of discussion:
The licensee is adding room six to the existing rooms (7, 8 and 9). The toddler option will operate out of room 7.
The square footage of the four classrooms will support 12 toddlers when the licensee submits and application for the toddler option for 12 toddlers in addition to the existing capacity of 54 preschool children.

The outdoor activity area square footage is also sufficient to support the additional children to the current capacity. There is age appropriate toys and equipment for both age groups.

The licensee plans to use a rotational waiver between the toddler and preschool age children.

There are eight toilets and ten sinks for the children.

The licensee will first submit an application to add room 6 to the preschool program. Upon receipt of the application to add the classroom, the department will request a fire inspection from the local fire inspector. Room 6 will be added to the license after the fire inspection and the room is inspected by the department.

LPA Ouye was provided an LIC200A and a facility sketch to add the room to the license.

No deficiencies during the visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2022
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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