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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009441
Report Date: 02/18/2025
Date Signed: 02/18/2025 11:02:58 AM

Document Has Been Signed on 02/18/2025 11:02 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:HEAD START - COOKFACILITY NUMBER:
493009441
ADMINISTRATOR/
DIRECTOR:		RUIZ, ROSAFACILITY TYPE:
850
ADDRESS:2480 SEBASTOPOL ROADTELEPHONE:
(707) 535-3314
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY: 34TOTAL ENROLLED CHILDREN: 28CENSUS: 24DATE:
02/18/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Rosa RuizTIME VISIT/
INSPECTION COMPLETED:
11:12 AM
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On 02/18/25 at 9:10am, Licensing Program Analyst (LPA), Amy Strother conducted an unannounced Case Management inspection for a DECREASE in capacity. Upon arrival, LPA met with Facility Representative, Rosa Ruiz (D1). Licensee/Applicant is requesting to be licensed for 20 preschoolers, ages 3-5 years and 8 toddlers, ages 18 mos. – 3 years in classrooms #72 and #71. Classroom #70 in currently on a separate infant license, #493009803. Hours of operation will be Monday – Friday, 7:00am – 5:30pm. Present during today’s inspection were 18 children with 3 staff in preschool room #72 and 6 children with 3 staff in toddler room #71, for a total census of 24 children. Appropriate ratios and supervision were observed. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed D1 that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities.

LPA continued to tour the facility and measured indoor and outdoor activity space. Total indoor activity space measured 1546.80 square feet, which is sufficient to accommodate the requested capacity of 28 children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via individual water bottles. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 01/28/25.

LPA observed a total of 3 sinks and 2 toilets available for children’s use in the Preschool classroom #72 and 3 sinks and 2 toilets available for children’s use in the Toddler classroom #71. These are sufficient to accommodate the requested capacity of 20 children in the Preschool room and 8 children in the Toddler room, for a total of 28 children.

Continue on LIC809 - PAGE 2

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE: DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2025
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: HEAD START - COOK
FACILITY NUMBER: 493009441
VISIT DATE: 02/18/2025
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The facility currently has a fully fenced playground area. Fencing is made of chain link and is at least four feet high. The total square footage for all the outdoor activity space is 4653.13 square fee, which is sufficient to accommodate the requested capacity. The preschool outdoor activity space measures a total of 3692.19 square feet. The toddler outdoor activity space measures a total of 960.94 square feet and is shared with the neighboring infant license. A playground waiver to share the playground at different times in the AM and PM due to limited square footage shall be submitted and approved prior to licensure between the toddlers and infants. Shade is provided via a permanent gazebo structure that covers portions of both outdoor yards. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There are two climbing structures on the preschool playground, one for children ages 2-5 years which appears to be properly anchored and the other for ages 2-6 years which is plastic and movable. There is adequate cushioning in fall zones of climbers provided by wood chop cushioning under anchored structure and artificial tuff under the plastic structure. Drinking water is available via individual water bottles. LPA observed all hazardous items on the playground to be inaccessible to children. D1 was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

No corrections are needed. A license for 28 children will be granted upon a final file review.

A notice of site visit was given to facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

There were no Title 22 deficiencies cited during today's inspection.

Exit interview conducted and report was reviewed with facility representative, Rosa Ruiz.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025
LIC809 (FAS) - (06/04)
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