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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 280106261
Report Date: 01/04/2024
Date Signed: 01/04/2024 02:38:01 PM

Document Has Been Signed on 01/04/2024 02:38 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:YOUNG WORLD OF LEARNINGFACILITY NUMBER:
280106261
ADMINISTRATOR:PERSAUD, TINAFACILITY TYPE:
850
ADDRESS:3765 OXFORD STREETTELEPHONE:
(707) 252-9330
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 34TOTAL ENROLLED CHILDREN: 34CENSUS: 15DATE:
01/04/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Tina PersaudTIME COMPLETED:
02:25 PM
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On 01/04/2024 Licensing Program Analyst (LPA), Mindy Mohr made an unannounced Case Management visit to verify the Licensee's compliance with the facility's plan of correction. On 12/11/2023, the facility was cited with three type A deficiencies, two for personal rights and one for lack of supervision, specifically children being left in rooms unattended as way of discipline
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During today's visit LPA observed three staff supervising 15 children. Interior doors have been removed from rooms where children have been left unattended, staff use walkie talkies as a way of communicating with one another when they are in separate rooms of the facility. Licensee has conducted a staff meeting and all staff have taken the 'Active Supervision At A Glance' training.


A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Tina Persaud.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2024
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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