Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 233002802
Report Date: 02/12/2018
Date Signed 02/14/2018 10:07:05 AM

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:GLASS BEACH - INFANT CARE CENTERFACILITY NUMBER:
233002802
ADMINISTRATOR:ZAMARRIPA, ERICAFACILITY TYPE:
830
ADDRESS:930 STEWART STREETTELEPHONE:
(707) 961-9611
CITY:FORT BRAGGSTATE: CAZIP CODE:
95437
CAPACITY:8CENSUS: 3DATE:
02/12/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Martha Shea, DirectorTIME COMPLETED:
09:15 AM
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An inspection was made to the facility by LPA, N.Cunningham. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. This is a combination center with a separate preschool license. The infant/toddler license operates in the sandpipers room. The preschool license operates in the sea eagle room and pelican room.

Operating hours are 8:30-5:30, Mon-Fri. The facility was toured inside and outside and the floor and yard plan were verified. Activity space for infants is separate from other age groups. Infant have separate classrooms and play yards. The items which could pose a danger to children (detergents and cleaning compounds) were inaccessible to children. The director stated that poisons are stored in a locked closet. The facility was free of flies, insects and rodents. The toys, floors, and other equipment and surfaces appeared clean, toxic free, safe for infants and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The infant changing tables have at least 3" sides and sanitary vinyl pads that are at least 1" thick. The toddler bathroom and hand washing area appeared to be in safe and sanitary operating condition. There was sufficient napping equipment (cribs and cots) available that meet requirements. A current menu was posted. Food prep areas are clean. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition. There were no bodies of water observed. The director stated no weapons are stored on site and none were observed. During today's inspection, infant/toddler staffing ratios were being met and children were being directly supervised. The facility was operating within the licensed capacity. At least one staff member present possessed current CPR and First Aid certifications. Full signatures were observed on sign/in, sign-out sheets.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5026
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: 707-588-5058
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2018
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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME: GLASS BEACH - INFANT CARE CENTER
FACILITY NUMBER: 233002802
VISIT DATE: 02/12/2018
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Children’s records were reviewed and contained identification forms with authorized representative information, infant feeding plans and Infant Needs and Services Plans. Staff records were reviewed and contained health screening forms.

This facility is not providing Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the director. All licensing reports are public information and must be made available upon request for at least three years. There were no Title 22 deficiencies cited during today's inspection.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5026
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: 707-588-5058
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2018
LIC809 (FAS) - (06/04)
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