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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010098
Report Date: 08/03/2021
Date Signed: 08/03/2021 02:14:45 PM

Document Has Been Signed on 08/03/2021 02:14 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:OPEN ARMS PLAYGARDEN INCFACILITY NUMBER:
493010098
ADMINISTRATOR:MAAYAN SCHOEMANFACILITY TYPE:
850
ADDRESS:939 B STREETTELEPHONE:
(707) 364-5911
CITY:PETALUMASTATE: CAZIP CODE:
94952
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/03/2021
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maayan Schoeman and Anna HagmannTIME COMPLETED:
02:30 PM
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Licensing Program Analysts (LPA) Jen Velasco and Glenn Ouye met with the licensee Maayan Schoeman and Director, Anna Hagmann. LPA's toured the facility with the licensee and director.

The outdoor and indoor activity areas were inspected.

LPA and the licensee and director discussed Covid-19 mitigation plan for daily operation. Sign in and wellness checks, hand washing, sanitation and reporting procedures for Covid-19 mitigations plans were discussed.

LPA's also discussed IMS (incidental medical services) for children who require the need for an IMS plan. The program will store IMS devices in the travel backpack with the first aid kit. This will allow staff to take the safety backpack on field trips or if there is an emergency evacuation.

The prelicensing inspection was conducted on July 19, 2021. The facility is approved for licensure effective August 2, 2021.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2021
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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