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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493000856
Report Date: 08/08/2023
Date Signed: 08/08/2023 02:30:49 PM

Document Has Been Signed on 08/08/2023 02:30 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:RIEBLI EXTENDED CHILD CAREFACILITY NUMBER:
493000856
ADMINISTRATOR:JASON RIGGSFACILITY TYPE:
840
ADDRESS:305 MARK WEST SPRINGS ROADTELEPHONE:
(707) 545-2402
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY: 182TOTAL ENROLLED CHILDREN: 182CENSUS: 67DATE:
08/08/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
12:24 PM
MET WITH:Laura WassonTIME COMPLETED:
02:48 PM
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A Case Management – Annual Continuation visit was made to the Extended Child Care main office located at 1745 Copperhill Pkwy Ste. #5 Santa Rosa, CA 95403 by Licensing Program Analyst (LPA), Amy Strother. LPA met with facility representative, Laura Wasson.

During today’s visit LPA reviewed five staff files. All files contained complete records as required. At least one staff member (D1) present during the Required – 1 Year inspection completed on 07/27/23, possessed current pediatric CPR and First Aid certifications, D1’s certificate expires 08/2024.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

During today’s visit, LPA verified and obtained documentation that the building was constructed after January 1, 2010 and is exempt from water testing.

There were no Title 22 deficiencies cited during today's file review.

An exit interview was conducted and the report was reviewed with facility representative, Laura Wasson.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2023
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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