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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010229
Report Date: 09/19/2022
Date Signed: 09/19/2022 11:27:03 AM

Document Has Been Signed on 09/19/2022 11:27 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:SANTA ROSA RISE AND SHINE CHILDCARE CENTER-INFFACILITY NUMBER:
493010229
ADMINISTRATOR:CARY RICHFACILITY TYPE:
830
ADDRESS:2000 HUMBOLDTTELEPHONE:
(707) 293-9795
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 0DATE:
09/19/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Josiah Rich and Cary RichTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Josiah Rich and Cary Rich to conduct a prelicensing inspection of the infant center located at 2000 Humboldt Street, Santa Rosa Ca 95404. The application was received on June 30, 2022. The approved fire clearance was received from the Santa Rosa Fire Department on August 1, 2022.

This infant center has three main room. There is the infant room, a toddler room and a nap room. The applicant may install a half wall to in the infant room to support different aged infants. The toddler room will be for older infants. The nap room is off of the infant room and is where cribs will be located. The facility has cribs in the nap room and may also use cots for infants who no longer use the cribs. There is a changing table in the nap room and the applicant is purchasing a portable sink to install in the nap room. The applicant will send a photo of the portable sink after it is placed within arms reach of the changing table.
There is sufficient indoor activity space for 27 infant. There are sufficient cribs and cots for children. There are also sufficient furniture, equipment and toys for the children. There is a refrigerator next one of the sinks in the infant room for stored breastmilk and formula for the children. There is a functioning smoke and carbon monoxide detector(s) and fire extinguisher rated at 3A10BC.

The outdoor activity area was measured and supports 25 children. The applicant will submit a waiver for outdoor rotational use as there is not sufficient square footage to meet the applicant capacity of 27 children. There is sufficient shade in the outdoor activity area.

The applicant will submit an updated abuse reporting procedures for the staff handbook and install a portable sink in the nap room. The applicants have completed their preventative health practices class but the class did not have the effects of lead exposure which is now required. The applicants have registered for the Preventative Health Practices class administered by the 4C's. The applicants will have 6 months to obtain the water lead testing from the date of licensure.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2022
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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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: SANTA ROSA RISE AND SHINE CHILDCARE CENTER-INF
FACILITY NUMBER: 493010229
VISIT DATE: 09/19/2022
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The applicant was reminded that all adults 18 years and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA reviewed with the applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA discussed the safe sleep regulations with the applicant and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Exit interview conducted and report was reviewed with the applicant, Josiah Rich.

Upon receipt of the staff handbook containing the abuse reporting procedures, the photo of the installed portable sink next to the changing able the department is approving a provisional license for six month. The provisional license will be converted to a regular license provided the applicants (Cary Rich and Josiah Rich) complete the preventative health practices and submits a copy of the certificates to the department prior to the end of the six month provisional term.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022
LIC809 (FAS) - (06/04)
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