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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
483009971
Report Date:
12/13/2024
Date Signed:
12/13/2024 09:35:45 AM
Document Has Been Signed on
12/13/2024 09:35 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:
CASTON, MAXINE FCCH
FACILITY NUMBER:
483009971
ADMINISTRATOR/
DIRECTOR:
CASTON, MAXINE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(707) 557-4375
CITY:
VALLEJO
STATE:
CA
ZIP CODE:
94589
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
4
DATE:
12/13/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:
Maxine Caston
TIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Glenn Ouye arrived unannounced and met with licensee Maxine Caston to amend a report dated November 21, 2024.
No deficiencies cited during the visit.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Glenn Ouye
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/13/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/13/2024
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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