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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002494
Report Date: 06/18/2021
Date Signed: 06/18/2021 04:26:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:TROSTEL, TAMIFACILITY NUMBER:
384002494
ADMINISTRATOR:TROSTEL, TAMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 770-4411
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY:14CENSUS: 0DATE:
06/18/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Tami TrostelTIME COMPLETED:
12:30 PM
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On 06/18/2021, at approximately 12:25pm, Licensing Program Analyst (LPA) Winnie Ly conducted an Unannounced Case Management Visit to collect updated contact information at the above address and met with Licensee Tami Trostel. The family child care is closed today. Purpose of the visit was explained to Licensee. Community Care Licensing has made attempts to contact licensee via phone email and/or letter and has been unable to reach licensee. Therefore, visit was made today to ensure the department has updated information from Licensee. LPA collected updated contact information from Licensee.

This Report will be emailed to Licensee.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie LyTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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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