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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283006886
Report Date: 01/10/2024
Date Signed: 04/25/2024 02:44:49 PM

Document Has Been Signed on 04/25/2024 02:44 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: 120CENSUS: 0DATE:
01/10/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Darrell Whitacre & Michele EggertTIME COMPLETED:
05:05 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 12/11/2023. 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 12/11/2023 C1 was left unattended in the classroom for less than one minute while the rest of the children, two teachers and one substitute went to the play yard. S2 stated the children were in circle time transitioning to go outside. S3 stated that during the transition they call the child's name, the child gets up from circle and then lines up at the door. S3 stated after all of the children's names had been called she went and checked on another teacher and child who had gone into another room. S3 then went back to the teacher and children lined up by the classroom door and they all went out to the play yard together. S3 stated that when they arrived at the play yard she realized a student was missing. S4 immediately went back to the classroom to find the child still in circle time. S4 and C1 went out to the play yard together.


S2 stated that this incident was reported to the child's authorized representatives immediately.
Based on available information, it has been determined that preschool staff S3 - S5 did not provide adequate supervision to child C1 during the incident on 12/11/2023. The following violation of the California Code of Regulations, Title 22; Division 12, was observed: see LIC 809D.


Continued on LIC809-C
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
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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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: NCOE - NAPA PRESCHOOL PROGRAM
FACILITY NUMBER: 283006886
VISIT DATE: 01/10/2024
NARRATIVE
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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.

LPA Mohr informed facility representatives, Darrel Whitacre and Michele Eggert that this report dated 01/10/24 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.




Also, LPA Mohr informed Darrel Whitacre and Michele Eggert to provide a copy of this licensing report dated 01/10/24 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/10/2024 04:55 PM - It Cannot Be Edited


Created By: Melinda Mohr On 01/10/2024 at 04:16 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: 01/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/10/2024
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 an updated "Child Head Count" procedure to LPA and it was provided to all staff at their site meeting on 12/11/2023 and 01/10/2024. S2 provided LPA with the updated procedures on head counts and emails send to staff with the procedures.
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This requirement is not met as evidenced by:

Based on interviews C1 was without supervision for 1 minute in the classroom. 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: 01/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2024


LIC809 (FAS) - (06/04)
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