213000763-8-18-2025-05-CC-CQUO-DKNVPB-20250818163628

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 213000763
Report Date: 08/18/2025
Date Signed: 08/18/2025 04:36:35 PM

Document Has Been Signed on 08/18/2025 04:36 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	NORTH BAY CHILDREN'S CENTER-INFANT		FACILITY NUMBER:	213000763
ADMINISTRATOR/ DIRECTOR:	KRISTINA SISSECK		FACILITY TYPE:	830
ADDRESS:	932 C STREET		TELEPHONE:	(415) 883-6222
CITY:	NOVATO	STATE: CA	ZIP CODE:	94949
CAPACITY: 22	TOTAL ENROLLED CHILDREN: 40	CENSUS: 0	DATE:	08/18/2025
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Kristina Sisseck & Paige Newton		TIME VISIT/ INSPECTION COMPLETED:	04:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On August 18, 2025 at approximately 9:30am, Licensing Program Analysts (LPAs) Quimbo and Garcia conducted a scheduled, case management visit. LPAs met with Chief Program Officer, Kristina Sisseck, and Program Director, Paige Newton, and explained the purpose of the visit. No children were present during today's visit. Facility is currently licensed for 22 infant children. License at facility has been on inactive status since January 2022 due to construction and renovation. Chief Program Officer has requested to remove inactive status. Infant program operated temporarily at facility # 214005480. Temporary facility was licensed for infant and toddler components. Temporary facility's operations have ceased as of two weeks ago. Chief Program Officer has requested to move infant and toddler program to newly renovated facility. Chief Program Officer also requested to increase capacity to 56 children: 24 infants (0 to 24 months) and 32 toddlers (18 months to 24 months). Fire clearance was received August 13, 2025. Per fire clearance, childcare cannot be provided in kitchen and admin areas. The site director will be Nicole Porter. LPAs toured, inspected and measured the on-limits areas and classrooms located at the facility. Facility is a combination facility with a preschool component. Toddler component will be on the infant license. Indoors: There are 2 infant classrooms and 2 toddler component classrooms. Infant components will operate in rooms 170 and 175. Toddler components will operate in rooms 177 and 181. The total indoor square footage for infant license measured for 2,340.54 sq. ft. which can accommodate Chief Program Officer's request of 56 children (24 infants and 32 toddlers). There is a Therapeutic classroom (room 127) that will be shared between infant, toddler and preschool children on an as needed basis. Chief Program Officer was reminded children cannot co-mingle. (Continue Report on Page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NORTH BAY CHILDREN'S CENTER-INFANT	FACILITY NUMBER: 213000763
	VISIT DATE: 08/18/2025

NARRATIVE

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The child care center was observed to be clean, safe, sanitary and in good repair. Floors of all rooms have a surface that is safe and clean. A comfortable temperature for children is being maintained. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. Tables and chairs were observed to be age appropriate. There are rugs in classrooms that were observed to be clean, free of stains. Infants' napping area is physically separate from infants' activity area. LPAs observed napping areas to include cribs that are free of loose articles and objects. Napping cots will be utilized for toddler children.

LPAs discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPAs also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Each classroom is equipped with an emergency backpack that includes a fully stocked first aid kit and emergency contact information. LPAs observed facility to have multiple fully charged fire extinguishers, smoke detectors and carbon monoxide detectors. LPAs tested carbon monoxide detectors in classrooms, which were observed to be working.

There is a shared bathroom between the two infant classrooms and a shared bathroom between the two toddler classrooms. There are 11 sinks and 4 toilets accessible to children. Total allowable capacity for sinks are 165 children. Total allowable capacity for toilets are 60 children. LPAs observed children's bathrooms to be in working condition. Sinks accessible to children do not provide water that is warmer than 120 degrees Fahrenheit. LPAs observed garbage bins with tight fitting lids throughout facility.

Outdoors: Infant and toddler children will have access to an outdoor area that is separated from the preschool children. Outdoor area is fully enclosed and fenced. There is sufficient outdoor toys and materials that are age appropriate. There is sufficient shade in the outdoor area. The total outdoor area measures for 2,269.2 sq. ft. which will not accommodate Chief Program Officer's requested capacity. Chief Program Officer has submitted an outdoor rotation waiver. LPAs did not observe any pools, spas or bodies of water on site.

There is a garden / green house area that will be shared between preschool, toddler and infant children on an as needed basis. Chief Program Officer was reminded children cannot co-mingle.
(Continue Report on Page 3...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NORTH BAY CHILDREN'S CENTER-INFANT	FACILITY NUMBER: 213000763
	VISIT DATE: 08/18/2025

NARRATIVE

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Drinking water will be made available to children both indoors and outdoors with accessible water fountains. Food service will be provided to children and is prepared on site in an off limit kitchen.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPAs referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPAs advised Chief Program Officer to submit building permits to verify facility was built after 2010.

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Based on fire clearance, maximum capacity facility will be licensed for will be 56 children: 24 infants (0 to 24 months) and 32 toddlers (18 months and 36 months).

LPAs discussed with Chief Program Officer and program director physical plant is to remain as is. Any changes to facility, the department must be made aware prior to and must approve of. Per Title 22, Section 101212(c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space.

Facility # 214005480 will be permanently closed, effective today's date.

Prior to approving capacity increase and removing inactive status for 213000763, the following items must be completed:
-Installation of sound alarm on exit doors in each classroom.
-Window stopper in each classroom.
-Installation of sinks in each classroom and children's bathrooms.
-Final set up of each classroom.

Proof of above will be submitted to LPAs by August 22, 2025.

No deficiencies were issued during today's visit. Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representatives, Kristina Sisseck and Paige Newton.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

LIC809 (FAS) - (06/04)

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