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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283010611
Report Date: 03/11/2024
Date Signed: 03/11/2024 09:52:10 AM

Document Has Been Signed on 03/11/2024 09:52 AM - 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:SCHMIDT, VANESSA FCCHFACILITY NUMBER:
283010611
ADMINISTRATOR:SCHMIDT, VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 363-7387
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
03/11/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Vanessa SchmidtTIME COMPLETED:
10:00 AM
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On 03/11/2024, Licensing Program Analyst, Sebastian Phouthavong has conducted Case Management Visit regarding a request for a Change of Location to the Family Child Care Home. Today, LPA met with Licensee, Vanessa Schmidt. Prior to visit, Licensee received a Fire Safely Inspection conducted by the local fire department and received an approved STD 850 for an of capacity to 14 daycare children on 02/26/2024.


The facility’s operating hours are Monday - Friday, 7:30 AM - 5:30 PM. The floor plan submitted by the licensee was reviewed and verified. The children will have access to the daycare room, daycare Dining Area, Kitchen, Living Room, one bathroom and a section of the backyard. The off-limits areas include 2 first floor bedrooms, a section of the dining room, garage, sides of the backyard and entire 2nd floor. The off-limits areas of the home were made inaccessible by door locks, plastic doorknob covers and/or child gates. The home appears to be clean and orderly and was at a comfortable indoor temperature. There were safe toys and equipment available for children. There is a working telephone in the home. The licensee reviewed the requirements that at least one person present with daycare children must obtain a current pediatric CPR and First Aid certifications. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) were observed to be stored out of the reach of children. Licensee stated there are not Firearms and/or other dangerous weapons in the home and none were observed during this inspection. Licensee stated there are no poisons stored on the premises and none were observed during today's inspection. The regulation that poisons are to be locked using a key or combination lock was reviewed. LPA observed a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. The licensee has reviewed that an emergency drill must be conducted within the past six months. The home's yard is fully fenced. There were no pools or other bodies of water observed.

Continued on LIC 809-C

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2024
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: SCHMIDT, VANESSA FCCH
FACILITY NUMBER: 283010611
VISIT DATE: 03/11/2024
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Continued from LIC 809

Licensee reviewed the requirements that an assistant must be present when the capacity is over 8 daycare children.

Licensee has met the requirements for a relocation and has been approved as of 03/11/2024.

Exit interview conducted and report was reviewed with the Licensee, Vanessa Schmidt.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024
LIC809 (FAS) - (06/04)
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