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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283010054
Report Date: 09/03/2024
Date Signed: 09/03/2024 02:43:01 PM

Document Has Been Signed on 09/03/2024 02:43 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:SUNRISE MONTESSORI OF NAPA VALLEY, INC.FACILITY NUMBER:
283010054
ADMINISTRATOR/
DIRECTOR:		LISA REEDFACILITY TYPE:
850
ADDRESS:1226 SALVADOR AVENUETELEPHONE:
(707) 253-1105
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 51DATE:
09/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Licensee, Roger GribbinsTIME VISIT/
INSPECTION COMPLETED:
02:51 PM
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A case management visit was made by Licensing Program Analyst (LPA) Mindy Mohr to provide assistance regarding qualifications of a director. During today's case management visit LPA met with Licensee, Roger Gribbins (L1) and provided assistance on Title 22 regulations and best practice recommendations.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report with reviewed with the Licensee. There were no Title 22 deficiencies cited during today's inspection.


SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2024
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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