Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009183
Report Date: 03/17/2017
Date Signed 03/17/2017 01:36:59 PM

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:NORTH BAY CHILDRENS CENTER-VALLEY VISTAFACILITY NUMBER:
493009183
ADMINISTRATOR:MCDONALD, PAMALLAFACILITY TYPE:
850
ADDRESS:730 NORTH WEBSTER STREETTELEPHONE:
(707) 778-4762
CITY:PETALUMASTATE: CAZIP CODE:
94952
CAPACITY:40CENSUS: 10DATE:
03/17/2017
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Pamela McDonald, Site SupervisorTIME COMPLETED:
02:30 PM
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(3) A visit was made to the facility by Licensing Program Analyst (LPA) N.Cunningham. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Operating days and hours are Monday through Friday, 7:30am to 4:30pm. The facility was toured inside and outside; the floor and yard plan were verified. The facility appeared clean and orderly. The items that could pose a danger to children (cleaning compounds, sharps, and medications) were inaccessible to children. The licensee stated no poisons are stored on site and none were observed during the visit. The toys, floors, desks and other equipment appeared clean and safe. There was drinking water available to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary operating condition. Food is provided at the facility; a current menu was posted. The playground was completely fenced and free of hazards. The playground equipment appeared in safe condition. There were no bodies of water on the premises. A sample of children records (consent for medical treatment) were reviewed and found to be in compliance. During today's visit staffing ratios were being met. At least one staff member present possessed current CPR and First Aid certifications which expire 1/19. All licensing reports are public information and must be made available upon request.

LPA provided Child Care Providers Guide to Safe Sleep. More information can be found at:
https://www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: http://www.ada.gov/childqanda.htm.
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: 03/17/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2017
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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