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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010700
Report Date: 09/24/2024
Date Signed: 10/15/2024 10:46:28 AM

Document Has Been Signed on 10/15/2024 10:46 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:NORTH BAY CHILDREN'S CENTER SASSARINIFACILITY NUMBER:
493010700
ADMINISTRATOR/
DIRECTOR:		MICHELLE JOHNSONFACILITY TYPE:
860
ADDRESS:652 5TH STREET WTELEPHONE:
(707) 935-6028
CITY:SONOMASTATE: CAZIP CODE:
95476
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 0DATE:
09/24/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Kristina SisseckTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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A prelicensing inspection was conducted today, on September 24, 2024 at 11:45am by Licensing Program Analyst (LPA), Snow. LPA met with applicant/licensee/facility representative Kristina Sisseck. Kristina Sisseck is requesting a license for 12 infant age 0-24 months & 12 toddler, 18-36 months & 24 preschool age 2-5years for a total capacity of 48 children. The facility will operate Monday-Friday, 7:30am to 5:00pm. The facility has 3 rooms, 2 bathrooms for children and an adult bathroom.
The indoor and outdoor activity spaces were toured, and the facility sketch was verified. The following areas will be off limits to children: kitchen in the preschool room made inaccessible by a gate. The meals will be prepared in the kitchen which has a refrigerator, stove top, sink & dishwasher. The isolation area for sick children will be located in the office area in the preschool room.

The infant room has a nap area set up with 7 cribs & 2 additional cots. The changing table is located in the infant room next to a sink. There are enough cots for the full capacity of preschool and infant children. There is no pool, spa, pond, fountain, or any other body of water on the premises The poisons are locked in a janitor’s closet. There is safe and age-appropriate furniture, toys, and play equipment available for children.
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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024
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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: NORTH BAY CHILDREN'S CENTER SASSARINI
FACILITY NUMBER: 493010700
VISIT DATE: 09/24/2024
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A capacity worksheet was completed during the visit. The preschool children will be in room #8.1 which measured 915 square feet with 2 toilets and 2 sinks. The toddler children will be in room# 8.0 which measured 784 square feet with 1 toilet and 2 sinks. The infant room # 7.9 which measured 748 square feet with no toilets, a potty chair and 3 sinks. Based on the above, there is enough for the requested capacity.

A capacity worksheet was completed during the visit. The outdoor play areas are fully fenced & the shade is provided by an awning. There are no climbing structures. The outdoor, preschool yard is 1856 square feet which is enough for the requested capacity. The facility is requesting a shared infant & toddler yard. There are no climbing structures. The shade structure is on order. The yard measures 945 square feet which is not enough for the requested capacity of infants & toddlers so a waiver will be required.

Kristina Sisseck was reminded that all adults 18 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2024
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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: NORTH BAY CHILDREN'S CENTER SASSARINI
FACILITY NUMBER: 493010700
VISIT DATE: 09/24/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reviewed with Kristina Sisseck the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
LPA discussed the safe sleep regulations with Kristina Sisseck and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Kristina Sisseck of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Kristina Sisseck was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2024
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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: NORTH BAY CHILDREN'S CENTER SASSARINI
FACILITY NUMBER: 493010700
VISIT DATE: 09/24/2024
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Exit interview conducted and report was reviewed with the Kristina Sisseck.

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 platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.


The following items need to be completed prior to the granting the license:

1. File review and corrections.
2. Managerial approval
3. Installed shade structure for infant/toddler yard (send photo)
4. Approved waiver for infants and toddlers to share a yard.
5. Approved fire clearance.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2024
LIC809 (FAS) - (06/04)
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