Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493006543
Report Date: 02/11/2019
Date Signed: 04/09/2019 09:15:08 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:NORTH BAY CHILDREN'S CENTER - SCHOOL-AGEFACILITY NUMBER:
493006543
ADMINISTRATOR:SCHEINBERG, MARISAFACILITY TYPE:
840
ADDRESS:1001 CHERRY STREETTELEPHONE:
(707) 763-6222
CITY:PETALUMASTATE: CAZIP CODE:
94952
CAPACITY:30CENSUS: DATE:
02/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:12 PM
MET WITH:Debbie NealTIME COMPLETED:
02:36 PM
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An annual inspection was made to the facility by Licensing Program Analyst (LPA) Jennifer Velasco. The School Age program is in a portable classroom at the edge of the playground on the campus of Cherry Valley Elementary School. The facility has a centralized fingerprint file for the chain of facilities. Staff are associated to North Bay Children's Center. LPA met with Area Director, Southern Sonoma County, Debbie Neal, (Director) who provided a current roster of children and staff.

Facility hours are 1:30 - 6:00 PM, Monday through Friday, corresponding to the year-round schedule of Cherry Valley Elementary School. LPA inspected the facility indoors and outdoors. Director stated that there are no bodies of water in the facility and none were observed by LPA. Director stated that there are no firearms in the facility and none were observed by LPA. The items which could pose a danger to children (detergents, cleaning compounds, and medications) were inaccessible to children in care in two locked kitchen cupboards. There was clean water available to children both indoors and outdoors. Director stated there are no poisons, and none were observed by LPA. There is a functional smoke detector, and there is a functional carbon monoxide detector in the facility. The center shares the school bathrooms and has two bathrooms in the classroom, which were in clean, sanitary, and functional order. All floors were clean and sanitary. All kitchen food preparation and storage areas were observed to be clean and free of litter and rubbish and free of rodents and other vermin. All storage containers for solid waste, including moveable bins, have tight-fitting covers. Food was observed to be kept at a safe temperature. The facility was free of flies, other insects, and rodents. LPA observed a fully charged fire extinguisher, rated at least 2A10BC. A fire drill was conducted on 12/2019. A current menu was posted. There was at least one person with CPR/First Aid certification, which expires in 01/2021. LPA examined five children's files, which contained Parents' Rights and other required forms. LPA examined three staff's files, which contained transcripts, immunization records, and other required forms.
There were no Title 22 deficiencies cited during today's visit.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (707) 588-5026
LICENSING EVALUATOR NAME: Jennifer VelascoTELEPHONE: (707) 588-5044
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2019
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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