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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416649
Report Date: 04/28/2022
Date Signed: 04/28/2022 09:48:07 AM


Document Has Been Signed on 04/28/2022 09:48 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:SUTTON, PATRICIAFACILITY NUMBER:
013416649
ADMINISTRATOR:SUTTON, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 846-4116
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY:14CENSUS: 7DATE:
04/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Patricia SuttonTIME COMPLETED:
10:00 AM
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On April 28, 2022 License Program Analyst(s) Lorraine Dacanay Breaux and Elimika Woods made a case management visit to service "Order of Immediate Exclusion of Individual from Facility" of Patricia Sutton's Family Child Care license and an exclusion action for Benjamin Sutton. The appeal rights were explained to licensee.

Upon arrival there where 7 children in care, 3 infants and 4 pre schoolers. Licensee P. Sutton and Benjamin Sutton was present during the case management visit.

Licensee P. Sutton stated that she mailed on 4/27/2022 an appeal to the Regional Office, Attention Anika Evans, Regional Manager.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2022
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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