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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483007854
Report Date: 01/22/2025
Date Signed: 01/22/2025 03:23:52 PM

Document Has Been Signed on 01/22/2025 03:23 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TATER TOTS CHRISTIAN PRESCHOOLFACILITY NUMBER:
483007854
ADMINISTRATOR/
DIRECTOR:		TAWNYA ARCHERFACILITY TYPE:
850
ADDRESS:2605 CLAY BANK ROADTELEPHONE:
(707) 422-3414
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 104TOTAL ENROLLED CHILDREN: 77CENSUS: 47DATE:
01/22/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Center Director TawnyaTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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Licensing Program Analyst ( LPA) Elpidia Hernandez Torres arrived to the center to conduct a plan of correction visit. The center was previously cited on 12/19/2024 two type B deficiencies; missing LIC 701 physicians reports for 6 children and, the Sign in/ out was missing the signature of the person signing the child in/ out.

LPA had not received the corrections yet and stopped by the center to see if the corrections had been made. The center director reported, the corrections were complete and she was just about to send them via email.

LPA reviewed sign in/ out for two random days in December and two random days in January. On December 23, December 30th, January 17th, January 22, on all days all children were signed in. There were two children who didn't have guardian signatures, but by January 22 all children present were signed in with guardian signatures.

LPA reviewed all 6 children's files, 5 children had the LIC 701 physicians report with blue CDPH 286 and all required immunizations. One child did not have LIC 701, but did have a doctor's note with an appointment set to receive physician's report.

Deficiencies from 12/19/2024 have been cleared. There were no deficiencies issued during todays visit. Notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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