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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010038
Report Date: 08/25/2021
Date Signed: 08/25/2021 04:58:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:EL, SHELDON FCCHFACILITY NUMBER:
493010038
ADMINISTRATOR:EL, SHELDONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 708-8676
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:14CENSUS: 14DATE:
08/25/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Sheldon ElTIME COMPLETED:
05:15 PM
NARRATIVE
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While Licensing Program Analysts (LPAs) Amy Strother and Nicolette Cunningham were conducting an inspection with Licensee Sheldon El (L1) in relation to another matter, LPAs toured the home. During the tour, LPA Strother observed the following children in attendance with one staff, Staff 1 (S1) and L1, Child 1 – Child 3 (C1-C3) all preschool age, were in the front room to the left of the front door getting ready for a nap, Child 4 - Child 6 (C4-C6) 2 infants and 1 preschool age child, were in the front room to the right of the front door, Child 7 – Child 12 (C7-C12) all preschool children, were in the living room getting ready for nap, and two infants Child 13 – Child 14 (C13-C14) were observed in the backyard with one staff, Staff 2 (S2). L1 stated that there currently no children off site.

Based record review and interview, C4, C6, C13, and C14 are infants under the age of 2 years old. Based on the number of children and the ages of the children observed in care, the Licensee is operating above capacity and out of compliance.

The following violation of the California Code of Regulations, Title 22; Division 12, were cited: see LIC 809-D. Appeal Rights were provided.

Reports citing Type A violations are to be provided to parents/guardians of children currently enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC 9224 to be kept in each child's file.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: EL, SHELDON FCCH
FACILITY NUMBER: 493010038
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/26/2021
Section Cited

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...(2)...A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met:(2)More than twelve and up to fourteen children only if...(b)No more than three infants are cared for during any time when more than 12 children are being cared for. This requirement is not met as evidenced by:
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Based on observation and interview L1 had 4 infants and 10 preschool age children in care, which poses an immediate Health and Safety risk to the children in care. When L1 has 14 children in care, 1 must be at least age 6 and one enrolled in and attending kindergarten, and have no more than 3 infants in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:
DATE: 08/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/25/2021
LIC809 (FAS) - (06/04)
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