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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 490100328
Report Date: 05/24/2022
Date Signed: 05/25/2022 07:29:36 AM

Document Has Been Signed on 05/25/2022 07:29 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:HAPPY TIME CHRISTIAN PRESCHOOL AND DAY CAREFACILITY NUMBER:
490100328
ADMINISTRATOR:KEENA, MELINDAFACILITY TYPE:
850
ADDRESS:1135 FARMERS LANETELEPHONE:
(707) 527-9135
CITY:SANTA ROSASTATE: CAZIP CODE:
95405
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 29DATE:
05/24/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Melinda KeenaTIME COMPLETED:
02:30 PM
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Licensing Program Analyst Jennifer Velasco (LPA) conducted a case management inspection regarding to an incident that was reported to the Department by the facility. LPA met with director Melinda Keena (D1), toured the facility, obtained facility documents, conducted observation of staff supervision of children, and conducted interviews. During today's inspection, 29 children received care from five staff.

The facility reported a recent incident in which the behavior of a child (C1) in care was disruptive to the other children in care and necessitated multiple staff interventions. Based on LPA's observations, review of facility documents, and witness statements, facility staff met the needs of children in care while also effectively addressing and following up on the behavior and needs of C1. This report was discussed with D1. All licensing reports are public information and must be made available upon request for three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2022
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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