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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283010215
Report Date: 07/01/2022
Date Signed: 07/01/2022 11:18:18 AM

Document Has Been Signed on 07/01/2022 11:18 AM - 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 SUNSHINE LEARNING CENTERFACILITY NUMBER:
283010215
ADMINISTRATOR:WHITESIDE, JULIETAFACILITY TYPE:
830
ADDRESS:711 SUNNYSIDE ROADTELEPHONE:
(707) 963-3545
CITY:ST. HELENASTATE: CAZIP CODE:
94574
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 0DATE:
07/01/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Julieta WhitesideTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye me with Julieta Whiteside to conduct a prelicensing ;inspection for a change of location and capacity increase. The application was received on June 13, 2022. The approved fire clearance was received on June 16, 2022.

The program is adding the toddler component to the infant license. The interior has sufficient square footage for 6 toddlers and 4 infants. There are age appropriate toys, equipment and furniture for the infants and toddlers. The toddler activity area is physically separated from the infant activity are by a partition. The infant sleep area is in an alcove next to the activity area. There are sufficient cribs and cots for the children. There are functioning smoke, carbon monoxide detectors and two fully charged fire extinguishers rated at 3A40BC.

The outdoor area has sufficient square footage to support a maximum of six children at a time. The facility will use a rotational outdoor waiver that will allow the infant and toddlers to use the outdoor area separately at scheduled times.

The licensee 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: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2022
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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LITTLE SUNSHINE LEARNING CENTER
FACILITY NUMBER: 283010215
VISIT DATE: 07/01/2022
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LPA reviewed with licensee the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or facility representative] 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.

Exit interview conducted and report was reviewed with the licensee, Julieta Whiteside.

The facility agrees to comply with the required lead testing for drinking water and water use for food preparation within 180 days of licensure.

The facility's license is approved effective July 1, 2022.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC809 (FAS) - (06/04)
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