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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010213
Report Date: 07/22/2022
Date Signed: 07/22/2022 11:33:15 AM

Document Has Been Signed on 07/22/2022 11:33 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:GROWING HEARTSFACILITY NUMBER:
483010213
ADMINISTRATOR:BOWERS, PENNYFACILITY TYPE:
840
ADDRESS:1830 WEST TEXAS STREETTELEPHONE:
(707) 399-8112
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 0DATE:
07/22/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Penny BowersTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with licensee Penny Bowers to conduct a prelicensing visit for the school age center. The application was received on June 3, 2022. The fire inspection was received on 7/21/22.

The square footage is sufficient to support the capacity of 42 children. The licensee will request a waiver to utilize the outdoor activity space on a rotational bases with the preschool/toddler program.

There are 3 toilets and 3 sinks along with two water fountains for the school age children. The building has two main rooms. The school age program will utilize part of the room and a toddler program which is part of the preschool license will use the other portion of the room. The two rooms will have physical separation so the different age groups do not commingle.

There are functioning smoke and carbon monoxide detectors. The pull station fire alarms are located at the front door and rear door. There are fouir fire extinguishers.

This program's director will Aly Bowers who is the director of the preschool/toddler program at this location.

The licensee was reminded that all adults 18 years and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2022
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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: GROWING HEARTS
FACILITY NUMBER: 483010213
VISIT DATE: 07/22/2022
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LPA reviewed with licensee the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Exit interview conducted and report was reviewed with the licensee, Penny Bowers.

The facility is approved for licensure effective July 22, 2022.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022
LIC809 (FAS) - (06/04)
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