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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283006886
Report Date: 12/11/2023
Date Signed: 12/11/2023 02:35:29 PM

Document Has Been Signed on 12/11/2023 02:35 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:NCOE - NAPA PRESCHOOL PROGRAMFACILITY NUMBER:
283006886
ADMINISTRATOR:MARYANNE RIJKERSFACILITY TYPE:
850
ADDRESS:74 WINTUN CTTELEPHONE:
(707) 253-6850
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY: 120TOTAL ENROLLED CHILDREN: 13CENSUS: 10DATE:
12/11/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Darrell Whitacre & Michele EggertTIME COMPLETED:
02:45 PM
NARRATIVE
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An unannounced case management visit was made to the facility by Licensing Program Analyst (LPA) Mindy Mohr in response to a self-reported, lack of supervision incident involving Child (C1) that occurred on 12/01/2023. During today's visit LPA met with Director Darrell Whitacre (S1) and Child Development Coordinator Michele Eggert (S2) to discuss the incident.

It was reported that on 12/01/2023 C1 was left unattended on the play yard, which is fully fenced. S1 stated that the children transitioned inside to prepare for lunch, and it was after the children were in their chairs staff realized C1 was missing. S3 went to the classroom door that leads out to the play yard, opened it to look for C1, upon opening the door C1 was found standing there outside. S1 stated C1 was outside for approximately three to five minutes. S1 stated that staff are to do a head count when the class transitions to going inside or outside. S5 reported to S1 that the head count had been done.

S1 stated that this incident was reported to the child's authorized representative. S2 stated that an email has been sent out to staff regarding the incident, head counts and the importance of supervision. S2 will be giving staff "Child Head Count" procedure sheet at their site meeting.

Based on available information, it has been determined that preschool staff S3 -S6 did not provide adequate supervision to child C1 during the incident on 12/01/2023. The following violation of the California Code of Regulations, Title 22; Division 12, was observed: see LIC 809D. This report was read and reviewed with Director Darrell Whitacre and Child Development Coordinator Michele Eggert. Notice of site visit shall be posted for 30 days. Appeal rights provided
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2023
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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Document Has Been Signed on 12/11/2023 02:35 PM - It Cannot Be Edited


Created By: Melinda Mohr On 12/11/2023 at 01:15 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: NCOE - NAPA PRESCHOOL PROGRAM
FACILITY NUMBER: 283006886

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/11/2023
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
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This deficiency was cleared during today's case management visit. S1 and S2 provided proof of "Child Head Count" procedure to LPA and it will be provided to all staff at their site meeting on 12/13/2023. S2 sent out an email to all staff regarding head counts and the importance of supervision.
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This requirement is not met as evidenced by:

Based on interviews C1 was without supervision for 3-5 minutes out on the play yard. This poses an immediate health and safety risk to the children 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:Leslie Lepori
LICENSING EVALUATOR NAME:Melinda Mohr
LICENSING EVALUATOR SIGNATURE:
DATE: 12/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/11/2023


LIC809 (FAS) - (06/04)
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