<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416649
Report Date: 05/09/2022
Date Signed: 05/09/2022 10:01:58 AM


Document Has Been Signed on 05/09/2022 10:01 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: 5DATE:
05/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Patricia Sutton TIME COMPLETED:
10:25 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On May 09, 2022 License Program Analyst(s) Lorraine Dacanay Breaux and Elimika Woods made a case management visit, to see if Benjamin Sutton was present during hours of operation on 7:00 AM - 6:00 PM. LPAs met with licensee and licensee indicated that Benjamin Sutton was home and in the shower.

LPAs informed licensee that she is in violation of the "exclusion order" of removing Benjamin Sutton, and that further action will be pursued. Licensee informed LPAs she is preparing the appeal with an attorney. Licensee is unsure if it was sent or not. LPAs informed licensee that son Benjamin Sutton can not be present during operation hours of 7:00 AM - 6:00 PM Monday - Friday.

Upon arrival there where 5 children in care, 3 infants and 2 pre schoolers. Site visit provided and appeal given to licensee. Exit interview contact with licensee P. Sutton.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2022
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 1