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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 173010120
Report Date: 10/15/2021
Date Signed: 10/15/2021 02:02:50 PM

Document Has Been Signed on 10/15/2021 02:02 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:GENERATIONS, LLC - INFANTFACILITY NUMBER:
173010120
ADMINISTRATOR:YVONNE QUINTEROFACILITY TYPE:
830
ADDRESS:650 E HWYTELEPHONE:
(707) 395-5437
CITY:UPPER LAKESTATE: CAZIP CODE:
95485
CAPACITY: 4TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
10/15/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Yvonne QuinteroTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Glenn Ouye met Director Yvonne Quinero to conduct a prelicensing inspection of the infant program of this combination center. The application was submitted on September 20, 2021. The department has received the approved fire clearance.

LPA Ouye inspected the interior and exterior areas of the facility. The infant program has a main activity room with an adjacent bathroom with a changing table next to a sink. There is also a refrigerator for breast milk and formula. There is a separate staff restroom. The interior and exterior square footage supports the application capacity. The smoke and carbon monoxide detectors are functional and notify the local fire department. There is a fire extinguishers rated at 3A40BC. There is a fully stocked first aid kit. LPA and director discussed incidental medical services plan and the requirements. There are sufficient age appropriate toys, furniture and equipment, including cribs and sleeping cots for the children.

The outdoor play area fence and shade sail are not installed yet. The director has these installations scheduled. When the outdoor activity area fencing is installed, the director will purchase outdoor infant equipment and padding for the area.

The director is aware that staff and volunteers must have criminal record clearance to work or volunteer in the facility.

Upon installation of the shade sail and the completion of the outdoor activity area the facility will be ready for licensure.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2021
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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