493010364-3-28-2023-01-CC-GOUE-CQCUBN-20230328152637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 493010364
Report Date: 03/28/2023
Date Signed: 03/28/2023 03:26:47 PM

Document Has Been Signed on 03/28/2023 03:26 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:	LITTLE MONARCHS PRESCHOOL		FACILITY NUMBER:	493010364
ADMINISTRATOR:	TEETER, ZOE		FACILITY TYPE:	850
ADDRESS:	3267 AIRWAY DRIVE		TELEPHONE:	(707) 479-5577
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY: 58	TOTAL ENROLLED CHILDREN: 58	CENSUS:	DATE:	03/28/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:			TIME COMPLETED:	03:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Glenn Ouye met with Applicant, Zoe Teeter to conduct the prelicensing inspection for this preschool/toddler center. The applicant has applied for a preschool program with the toddler option. The application was received on February 10, 2023. The department has the approved fire clearance. The preschool/toddler application is for 58 preschool children. The facility has two classrooms. One room is for the preschool program and a smaller room for the toddler program. There is sufficient interior square footage for the 57 preschool/toddler children. Specifically, 45 preschoolers and 12 toddlers. There are 4 sinks, 4 toilets/urinals. There are age appropriate equipment, furniture and toys for the children. There are functioning smoke and carbon monoxide detectors. There are three fire extinguisher rated at 3A40BC. The facility will conduct emergency disaster drills at least once every six months. The facility agrees to document the disaster drill. The sign in and sign out procedure was discussed. The outdoor activity area has sufficient square footage for the 57 preschool children. The is age appropriate equipment and toys for the children. The preschool program will request a waiver to share the outdoor activity space between the toddlers and the preschool children on a rotational basis. 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.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: LITTLE MONARCHS PRESCHOOL	FACILITY NUMBER: 493010364
	VISIT DATE: 03/28/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

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

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed - related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

LPA also informed applicant 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.

The applicant is aware that lead testing water to be used for drinking and food preparation must be completed within six months of licensure and then every five years thereafter.

Exit interview conducted and report was reviewed with the applicant, Zoe Teeter.

The facility is approved for licensure which is effective today, March 28, 2023.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2