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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010181
Report Date: 05/25/2022
Date Signed: 05/25/2022 09:49:53 AM


Document Has Been Signed on 05/25/2022 09:49 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:MCCLAIN, SANDRA FCCHFACILITY NUMBER:
483010181
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
05/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sandra McClainTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with licensee Sandra McClain to conduct a capacity increase.

On April 7, 2022 the licensee completed a change of location. She previously operated as a large FCCH in Fairfield but relocated as a small. The licensee is now being licensed as a large FCCH.

The facility has functioning smoke and carbon monoxide detectors. The fire extinguisher is rated at 2A10BC and is mounted above the kitchen counter. The licensee conducts emergency disaster drills 4 times a year.

The facility is approved as a large family child care home effective May 25, 2022.

No deficiencies cited during the visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn OuyeTELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2022
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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