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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493008053
Report Date: 01/24/2025
Date Signed: 01/24/2025 09:09:38 AM

Document Has Been Signed on 01/24/2025 09:09 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TINY TREASURES PRESCHOOLFACILITY NUMBER:
493008053
ADMINISTRATOR/
DIRECTOR:		FLEMING, CLAIREFACILITY TYPE:
850
ADDRESS:6170 MONTECITO BLVD.TELEPHONE:
(707) 539-8469
CITY:SANTA ROSASTATE: CAZIP CODE:
95409
CAPACITY: 64TOTAL ENROLLED CHILDREN: 77CENSUS: 26DATE:
01/24/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:16 AM
MET WITH:Sara DonisTIME VISIT/
INSPECTION COMPLETED:
09:17 AM
NARRATIVE
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Licensing Program Analyst (LPA) Robert Maciel made a case management inspection and met with Director Sara Donis. The inspection was made in response to water lead testing results received from the California State Water Resource Control Board.

The test results showed that the following samples tested above the allowable level 5.0 parts per billion (ppb) of lead in the water: Sample Site C had a reading of 22 ppb. All other sources of water tested below the allowable level of 5.0 ppb.

Director stated that faucet C was used for hand washing, not drinking or food preparation. During today’s inspection, LPA observed the water faucet was shut off using the valve under the sink. Children in care are receiving drinking water from their own individual water bottles and an outdoor water fountain which tested below the allowable level.


The following deficiency is being cited (see LIC 809D). A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Sara Donis.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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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Document Has Been Signed on 01/24/2025 09:09 AM - It Cannot Be Edited


Created By: Robert Maciel On 01/24/2025 at 08:50 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: TINY TREASURES PRESCHOOL
FACILITY NUMBER: 493008053

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2025
Section Cited

101700.3(b)(2)

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Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care.
This requirement was not met as evidenced by:
On 1/13/25, licensee failed to maintain a lead
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Licensee has made the faucet temporarily inaccessible by shutting the water off and children receive drinking water from bottled water and the water fountain outside which tested within the allowable level of lead.
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value at or below the Action Level for water lead testing resulting with values of 5.5 ppb or greater for faucet "C". Water testing results identified with Action Level Exceedance as defined in WD section 101700.3. are not deemed safe to drink. This is a potential health and safety risk to children in care.
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The licensee will determine if the faucet will be replaced and retested or permanently removed by POC date and will submit plans regarding how that will be accomplished by 1/31/25.

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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:Erin Virrueta
LICENSING EVALUATOR NAME:Robert Maciel
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2025


LIC809 (FAS) - (06/04)
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