Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283008336
Report Date: 01/22/2020
Date Signed: 01/22/2020 02:45:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:HEARTS AND HANDS PRESCHOOL, INC.FACILITY NUMBER:
283008336
ADMINISTRATOR:BENNER, DENISEFACILITY TYPE:
850
ADDRESS:1504 MYRTLE STREETTELEPHONE:
(707) 942-1224
CITY:CALISTOGASTATE: CAZIP CODE:
94515
CAPACITY:30CENSUS: DATE:
01/22/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Denise BennerTIME COMPLETED:
03:00 PM
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LPA Kevin O'Connell made an unannounced inspection regarding a 1/10/2020 unusual incident report where the Director made a Suspected Child Abuse Report after a child reported some inappropriate touching by a relative to one of her teachers. The Director said that this child had made a few other remarks in the last few months that didn't sound right but not sexual by nature.
The Director held a special training regarding Mandated Reporting procedures the Monday following the reported incident to insure that reportable issues get reported timely.
LPA conducted a record review for the teacher's Mandated Reporter Certificates and all were current except for a new teacher who was hired within the last 90 days. The Director will forward a copy of her Mandated Reporter Certificate to CCL by the end of the week.

Notice of Site Visit to be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020
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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