<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010480
Report Date: 12/09/2024
Date Signed: 12/09/2024 02:03:51 PM

Document Has Been Signed on 12/09/2024 02:03 PM - 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 RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:BAYNORTH LEARNING CENTER - INFANTFACILITY NUMBER:
483010480
ADMINISTRATOR/
DIRECTOR:
OLDANI, SABRINAFACILITY TYPE:
830
ADDRESS:2100 PENNSYLVANIA AVENUETELEPHONE:
(707) 720-5278
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 8DATE:
12/09/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Akilah CrosslandTIME VISIT/
INSPECTION COMPLETED:
09:40 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Mindy Mohr made an unannounced Plan of Correction (POC) visit and met with Office Administrator Akilah Crossland (S1) to address multiple outstanding deficiencies that were cited on 11/14/2024.

During today's visit, LPA observed 8 infants in care with 2 staff. Interview with S1 revealed there are still three children records that are missing documents. S1 stated she is working with parents to obtain all required documents. S1 requested an extension until 12/30/2024 to complete the children’s files as there are only a few items missing. All other plan of corrections have been met, and the deficiencies cleared.

In addition, LPA Mohr interviewed staff regarding a self- reported unusual incident report that was sent into the Department on 11/26/2024 for an incident that occurred on 11/22/2024.

Exit interview conducted and report was reviewed with facility representative Akilah Crossland. There were no violation(s) of the California Code of Regulations, Title 22 issued during this visit.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024
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 1