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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009766
Report Date: 10/13/2023
Date Signed: 10/13/2023 09:22:27 AM

Document Has Been Signed on 10/13/2023 09:22 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:ALL DAY FUN & PLAY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
483009766
ADMINISTRATOR:DE LOVE, SHARISEFACILITY TYPE:
850
ADDRESS:1101 ANDERSON DRIVE, SUITE 100TELEPHONE:
(707) 759-2295
CITY:SUISUN CITYSTATE: CAZIP CODE:
94585
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/13/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Licensee unavailableTIME COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced Case Management visit to verify the facility’s operational status. On 10/09/23, the Licensee (LS) provided the Department with notification indicating the facility relocated and was no longer in operation, and LS requested closure of the license. During today's visit, LS was unavailable, and LPA did not observe any children in care, there were no furnishing in the facility and vacant; and there was no indication that LS was operating a childcare facility.

The facility license is forfeited and will be closed, effective, 10/13/23, in accordance with California Code of Regulations (CCR) 101186(a)(1)(c) which indicates the license shall be forfeited by operation of law prior to its expiration date when the Licensee moves the facility from one location to another. LS was unavailable to provide a signature, however; a copy of this report will be mailed to LS.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2023
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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