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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 210104528
Report Date: 01/29/2026
Date Signed: 01/29/2026 02:55:41 PM

Document Has Been Signed on 01/29/2026 02:55 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TEXTILE ARTS COLLABORATIVEFACILITY NUMBER:
210104528
ADMINISTRATOR/
DIRECTOR:		SOCKLER, LAURENFACILITY TYPE:
775
ADDRESS:2470 5TH AVENUETELEPHONE:
(415) 453-4240
CITY:SAN RAFAELSTATE: CAZIP CODE:
94901
CAPACITY: 110CENSUS: 69DATE:
01/29/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Director, Lauren SocklerTIME VISIT/
INSPECTION COMPLETED:
03:10 PM
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01/29/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. Facility is an adult day care program. LPA met with Director, Lauren Sockler. Day Program has a fire clearance for 110 clients. Out of the 110 clients, 20 clients can be non-ambulatory. Upon arrival, LPA was informed that there were currently 69 clients attending Day Program with 23 staff members on-site. Day program operates Monday through Friday from the hours of 8:00am - 4:00pm.

LPA and Director conducted a walk through of the facility and observed the following: The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility has multiple buildings/activity areas which includes the TAC main building which consists of a senior program and the kitchen, barn art studio, and a garden. Day program activities include art, music, gardening, puzzles, games, care for animals, and bee keeping. Clients are able to sell their art and products at local Farmer's Markets, local merchants and the Cedars Art Studio. Clients have the option to bring their own lunch or to have lunch that is provided by the facility on-site. Toxins were observed to be stored inaccessible to clients. Hot water temperatures in four sinks were measured and were all found to be within regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers were inspected January 2026. Facility has a fire sprinkler system.

Facility conducts monthly fire drills with the last one being conducted 01/08/2026.

LPA conducted a review of 8 client records. All records had the required documentation. LPA conducted spot medication count for clients and found all prescription medication to be properly recorded on the Centrally Stored Medication Record.

LPA conducted review of 6 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file.

continued on LIC809C

NAME OF LICENSING PROGRAM MANAGER: Kimberley Mota
NAME OF LICENSING PROGRAM ANALYST: Anthony Loera
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: TEXTILE ARTS COLLABORATIVE
FACILITY NUMBER: 210104528
VISIT DATE: 01/29/2026
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While conducting inspection, LPA followed up on a special incident report (SIR) that was submitted to Community Care Licensing (CCL) on 03/27/2025. SIR states on 03/27/2025 at 9:20am, staff (S1) called the office from the TAC dining room, to say they could not awaken client (C1) and had been trying for some time. Staff went to the dining room and tried to awaken C1 repeatedly, noting C1 was breathing and had color but was unresponsive.

Per conversation with Director, C1 was assessed by their physician after the incident. LPA obtained copies of medical documents.

No deficiencies cited during today's inspection.

LPA obtained the following documents during inspection: LIC500 (Personnel Report), LIC610D (reviewed and signed), and LIC308 (Designation of Facility Responsibility)

Updated copy of the following document were requested for facility file and are to be submitted to CCL by 02/28/2026:



- Updated Liability Insurance


Exit interview conducted with Director and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Kimberley Mota
NAME OF LICENSING PROGRAM ANALYST: Anthony Loera
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2026
LIC809 (FAS) - (06/04)
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