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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 233010187
Report Date: 08/28/2024
Date Signed: 08/28/2024 01:22:25 PM

Document Has Been Signed on 08/28/2024 01:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:SANCHEZ, ALEXA FCCHFACILITY NUMBER:
233010187
ADMINISTRATOR/
DIRECTOR:
SANCHEZ, ALEXAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 391-9801
CITY:UKIAHSTATE: CAZIP CODE:
95482
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
08/28/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Alexa SanchezTIME VISIT/
INSPECTION COMPLETED:
01:37 PM
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Licensing Program Analyst (LPA) Robert Maciel made a visit for the purpose of following up on a plan of correction and met with Licensee, Alexa Sanchez. On 08/05/24, the facility was cited for the licensee's dog, specifically one of the licensee's french bulldogs, jumping up on a child and scratching his eye. As part of the plan of correction of the deficiency, the Licensee stated she would keep the french bulldogs in the separately fenced area in the backyard and transfer them inside when children play outside.

During today's visit at 12:57 PM, LPA observed in the back yard that the two french bulldogs were in the separately fenced area in the backyard. Licensee requested to modify the plan of correction to use the rest of the backyard space for the dogs for when it gets too hot so that they can be in the shade when children are inside the home.

Report was read and reviewed with the licensee, Alexa Sanchez. A notice of site visit given and must remain posted for 30 days. Failure to do so will result in an immediate civil penalty of $100. No deficiencies were cited during today's visit.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2024
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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