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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010067
Report Date: 07/27/2022
Date Signed: 07/27/2022 12:05:42 PM

Document Has Been Signed on 07/27/2022 12:05 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:MISS DAWN'S DAYCARE LLC-PRESCHOOLFACILITY NUMBER:
493010067
ADMINISTRATOR:WARWICK, DAWNFACILITY TYPE:
850
ADDRESS:1180 ELVERA STREETTELEPHONE:
(707) 849-7318
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: DATE:
07/27/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Dawn WarwickTIME COMPLETED:
12:15 PM
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Licensing Program Analysts (Glenn Ouye and Yang Yang) met with the applicant (Dawn Warwick) to conduct a prelicensing visit for the preschool center. The application was received on May 10, 2021. The fire clearance was approved on September 24, 2021.

The facility has five classrooms and a kitchen. There are sufficient furniture, equipment and toys for the children. There is sufficient interior square footage to support 30 preschool children. There are two toilets and one urinal and three sinks for the children. There is a separate staff bathroom. There is one additional room with a bathroom that will be for staff that will live on site. The facility has a first aid kit and all chemicals, medications and cleaning supplies are inaccessible to children. There are functioning smoke and carbon monoxide detectors and a fire extinguisher rate at 2A10BC.

The outdoor activity area is behind the center. The outdoor area is fully fenced. There is sufficient shade for the children. Hydration for the children in the outdoor area is achieved with individual water bottles for the children. There are no bodies of water.

The applicant 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.

LPA reviewed with the applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.


SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2022
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: MISS DAWN'S DAYCARE LLC-PRESCHOOL
FACILITY NUMBER: 493010067
VISIT DATE: 07/27/2022
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication

Exit interview conducted and report was reviewed with the applicant, Dawn Warwick.

The applicant was reminded that all child care centers are required to have a water lead testing performed. The center must have their water that is used for consumption and or food preparation be tested within 180 days of licensure.

The applicant has demonstrated sufficient knowledge of child care center regulations and the facility physical plant is prepared for licensure. The facility license is approved for licensure effective July 27, 2022.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
LIC809 (FAS) - (06/04)
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