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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 490102646
Report Date: 03/09/2023
Date Signed: 03/09/2023 10:22:23 AM

Document Has Been Signed on 03/09/2023 10:22 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:BETH AMI COMMUNITY NURSERY SCHOOLFACILITY NUMBER:
490102646
ADMINISTRATOR:DREZNER, CARENFACILITY TYPE:
850
ADDRESS:4676 MAYETTE AVENUETELEPHONE:
(707) 360-3030
CITY:SANTA ROSASTATE: CAZIP CODE:
95405
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: DATE:
03/09/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Caren DreznerTIME COMPLETED:
10:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Glenn Ouye met with Director, Caren Drezner to discuss the potential for a toddler option at the preschool. The proposed classroom and outdoor area was measured. The classroom does not have a toilet for the toddlers. There is a sink in the classroom. The square footage supports up to 18 children with 654 sq. ft. If the facility decides to operate an infant program the facility could be licensed for 12 infants with 210 sq. ft. of the 654 sq ft to be designated for a crib/nap area.
The outdoor area is 725 sq ft which supports 9 children. LPA advised that a rotational waiver could be used to for the outdoor area to accommodate the needs of the children.

The director indicated that she will speak with the board to determine how they will want to proceed.

The facility has also put in for a name change which was approved by the board of directors. The new name of the facility will be Beth Ami Early Learning Center.

During the course of the inspection LPA Ouye noticed water stains on the ceiling in classrooms 7/8, 5/6 and 1/2. The director said that rooms 7/8 has water leaking into a light fixture. She said that the board is aware of the leak and they had a roofing contractor out January 2023 and did a temporary patch however the contractor said that he needed to return to do a permanent repair because the temporary patch was only a temporary fix.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: BETH AMI COMMUNITY NURSERY SCHOOL
FACILITY NUMBER: 490102646
VISIT DATE: 03/09/2023
NARRATIVE
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LPA Ouye also observed water stains in classroom 5/6 and the director said that there was a water leak in room 5/6 as well. She said that when it rains you can see new water stains on the ceiling tiles towards the middle of the room.

Room 1/2 is currently not in use because there is a current water leak LPA observed water dripping from the HVAC duct at 915am on March 9, 2023. The director said that the carpet in the room was wet from the leak as well. The director reported the situation to CCLD and did notify the board of directors of the situation so it could be remediated. She said that the room was closed in January 2023 during the heavy rainstorm and has not been fixed since.

Deficiencies cited for the following violation of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
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Document Has Been Signed on 03/09/2023 10:22 AM - It Cannot Be Edited


Created By: Glenn Ouye On 03/09/2023 at 09:28 AM
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: BETH AMI COMMUNITY NURSERY SCHOOL
FACILITY NUMBER: 490102646

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/23/2023
Section Cited
CCR
101238(a)

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LPA obsserved water leaking from ceiling in room 1/2 and water stains in room 5/6 and 7/8. Interview with director indicated that the water leaks have been ongoing since January 2023.
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The licensee agrees to submit proof to hire licensed contractors to repair roof, possible HVAC leak and have all water damages remediated by a water damage contractor.
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Left unrepaied for over a month poses a potential health and safety risk to the children in care due to the develpment of black mold.
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The contracts must be in place by the plan of correct date (3/23/2023) and completion of repairs must be completed by time specified in the contract.

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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:Glenn Ouye
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023


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