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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010473
Report Date: 09/12/2024
Date Signed: 09/12/2024 11:45:15 AM

Document Has Been Signed on 09/12/2024 11:45 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:NORMAN, BRENDA FCCHFACILITY NUMBER:
483010473
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 6DATE:
09/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:37 AM
MET WITH:Brenda NormanTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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A case management inspection was conducted to the facility by Licensing Program (LPA), Cindy Castro in response to an increase capacity application received by the Department on 08/27/24. The licensee is requesting a capacity of 14. 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. The facility was toured inside and outside. The facility’s operating hours are 08:00 AM to 06:00 PM, Monday - Friday. The licensee was caring for and supervising six children and operating within ratio and capacity requirements. The floor plan submitted by the licensee was reviewed and verified. The day care areas will be the living room, kitchen, one bathroom, one bedroom (used as playroom) and backyard. Two bedrooms and garage are "off limits" to the children and bedrooms were made inaccessible by key locking mechanisms. During today’s visit Licensee was utilizing the garage which is converted to a playroom. Per fire clearance granted on 08/22/24, garage shall not be used for any daycare purpose. LPA discussed with licensee that until a building and planning permit is granted and clearance from Building and Fire Department is obtained the garage shall not be used for any daycare purposes. LPA informed licensee that an immediate civil penalty can be issued for fire clearance violations. The children use the backyard as the outdoor play area, and it is completely fenced. There were no pools or other bodies of water observed on premises. The home was observed to be clean and orderly and was at a comfortable indoor temperature. The children's bathroom is free of toxins. There is a working telephone in the home. Items which could pose a danger to children (detergents, cleaning compounds, and medications) were stored out of the reach of children. There is a working smoke detector, carbon monoxide detector and fire extinguisher in the home. There is a screened fireplace in the living room and licensee stated that fireplace is not used during hours of operation. The licensee has a current roster of children in care and has conducted an emergency drill within the past six months.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: NORMAN, BRENDA FCCH
FACILITY NUMBER: 483010473
VISIT DATE: 09/12/2024
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There are no firearms in the home, and none were observed during the inspection. Licensee’s Pediatric CPR and Pediatric First Aid cards expire 04/07/2025. The Vallejo Fire Marshall inspected and granted the fire clearance on 08/22/24. All licensing reports are public information and must be made available upon request for at least three years.

Items to be repaired:

1. Daycare materials will be moved from garage and door will be locked prevent children access. Garage shall be off-limits to children, until a building and planning permit is granted and clearance from Building and Fire Department is obtained. Licensee will notify the Department once building and planning permit is granted.

Exit interview conducted and report was reviewed with the licensee, Brenda Norma. The facility licensure will be approved when the items listed above have been corrected.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC809 (FAS) - (06/04)
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