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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009430
Report Date: 05/10/2023
Date Signed: 05/10/2023 05:21:29 PM

Document Has Been Signed on 05/10/2023 05:21 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:4CS WRIGHT START PRESCHOOLFACILITY NUMBER:
493009430
ADMINISTRATOR:JEANNINE HERNANDEZFACILITY TYPE:
850
ADDRESS:950 SOUTH WRIGHT ROADTELEPHONE:
(707) 291-0154
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY: 48TOTAL ENROLLED CHILDREN: 37CENSUS: 24DATE:
05/10/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Eveida NunezTIME COMPLETED:
05:30 PM
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On 05/10/2023, Licensing Program Analyst (LPA), Amy Strother made an unannounced Case Management visit to follow up on an Unusual Incident Report (UIR) submitted to CCL on 05/03/23 regarding an alleged incident involving possible lack of supervision. LPA met with Jenny Copeland, Director of Preschool Programs, acting as Director (D1) and spoke with her about the UIR received.

During today's inspection, LPA toured the facility inside and out and observed 24 children being supervised by 4 staff members. LPA conducted an interview with D1 one staff member (S1), reviewed files and reviewed and received copies of facility documents including staff statements.

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

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 facility representative, Eveida Nunez.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2023
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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