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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483007757
Report Date: 11/13/2023
Date Signed: 11/13/2023 10:01:39 AM

Document Has Been Signed on 11/13/2023 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:CIRCLE OF FRIENDS CHILD DEVELOPMENT CENTER - P/SFACILITY NUMBER:
483007757
ADMINISTRATOR:THOMAS, ROSELLA E.FACILITY TYPE:
850
ADDRESS:3330 DOVER AVENUETELEPHONE:
(707) 425-2717
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 88TOTAL ENROLLED CHILDREN: 35CENSUS: 13DATE:
11/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Center Director Danielle HaynesTIME COMPLETED:
10:00 AM
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Through the course of investigation, concerns of roaches and gnats were brought to the attention of LPA Hernandez Torres. LPA arrived to the facility previously on 08/24/2023. LPA observed home made gnat trap in the center director's office. LPA toured the facility and observed gnats in the kitchen, one classroom, the entry hall way, and center director's office. Center director reported pest control has come out and continued to encourage the center to use the home made traps.

LPAs Elpidia Hernandez Torres and Glenn Ouye arrived to the facility on 11/13/23, toured the facility and observed gnats flying in the entry hall way, the center directors office, and the kitchen. LPAs also observed roach traps around the floor of the kitchen with roaches caught in the traps. LPAs reviewed the pest control reports as proof the pest control company has been making monthly visits to the facility.

The center is continuously providing efforts with the help of pest control to remain in compliance.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2023
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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