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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009917
Report Date: 02/27/2025
Date Signed: 02/27/2025 10:19:05 AM

Document Has Been Signed on 02/27/2025 10:19 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:NARVAEZ, GABRIELA FCCHFACILITY NUMBER:
283009917
ADMINISTRATOR/
DIRECTOR:		NARVAEZ, GABRIELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 363-1555
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
02/27/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Gabriela NarvaezTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 02/27/2025, Licensing Program Analyst (LPA) Mindy Mohr conducted a Case Management Visit regarding Licensee requesting to add her garage as an on limits area. Today, LPA met with Licensee, Gabriela Narvaez (L1). Prior to today’s visit, on 02/25/2025 L1 received an approved Fire Clearance to operate in the garage.

During the inspection the home was toured inside and outside. The licensee and her assistant were supervising 4 children and operating within the licensed capacity and ratio requirements. The facility’s regular operating hours are Monday - Friday, 7:30 AM - 4:30 PM. The floor plan submitted by the licensee was reviewed and verified. The children will have access to the living room. dining room, kitchen, one bedroom, and garage which has been converted to a play room and includes a bathroom. The off limits area of the home are two bedrooms and the hallway bathroom. The requested area has been approved for use.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Licensee, Gabriela Narvaez.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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