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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010463
Report Date: 08/21/2025
Date Signed: 08/26/2025 12:52:38 PM

Document Has Been Signed on 08/26/2025 12:52 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 CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:YWCA CHILD CARE CENTER - HEALDSBURGFACILITY NUMBER:
493010463
ADMINISTRATOR/
DIRECTOR:		AYLA OXLEYFACILITY TYPE:
860
ADDRESS:1557 HEALDSBURG AVENUETELEPHONE:
(707) 546-7177
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: DATE:
08/21/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Cheryl MooreTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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An informal conference was conducted virtually today with the Director of Childcare Services, Cheryl Moore, Regional Manager, Jordan Monath, Licensing Program Manager, Leslie Lepori, and Licensing Program Analyst, Mindy Mohr, to discuss circumstances surrounding the multiple citations and civil penalty issued in April following the supervision incidents that occurred at the facility. One incident involved a child being left in the outdoor play area between the inner and outer fences in which the child was briefly without line-of-sight supervision. Another incident involved a child who was left unattended in the outdoor play area for approximately eight minutes.

Parties further discussed the responsibility or providing care and supervision, staffing, training, site supervisor oversight, staff accountability, and improved procedural changes. The Licensee has taken or agrees to take the following steps:



· Facility has locked one of the gates with zip ties to prevent children from opening in accordance with fire inspector’s guidance.
· Additional training to be provided to ensure staff fully understand the process of using the white board to keep track of the number of children in care.
· Accountability of staff in following procedure when children come in and out of the outdoor play area.
· Consideration of implementing a check off list or bell system to ensure staff are conducting sweeps and counting children as they come in from the outdoor play area.
· An updated training plan and procedure to include supervision protocol will be submitted.

The Director was advised of the possibility of additional inspections to ensure compliance with the plan of corrections put into place to assist with prevention of any further reoccurrence.
NAME OF LICENSING PROGRAM MANAGER: Jordan Monath
NAME OF LICENSING PROGRAM ANALYST: Leslie Lepori
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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