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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009976
Report Date: 05/09/2024
Date Signed: 05/14/2024 11:15:44 AM

Document Has Been Signed on 05/14/2024 11:15 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:DOPP, ISABEL FCCHFACILITY NUMBER:
483009976
ADMINISTRATOR/
DIRECTOR:		DOPP, ISABELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 948-9503
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY: 14TOTAL ENROLLED CHILDREN: 19CENSUS: 10DATE:
05/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Licensee Isabel DoppTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analyst ( LPA) Elpidia Hernandez Torres arrived to the Family Child Care Home (FCCH) for a case management visit. License was previously issued a deficiency on 04/11/2024 for operating out of ratio, but was cited under "ILS" instead of "CCR", as well as a subsection pertaining to small FCCH License, although licensee is a Large FCCH.

During todays visit, LPA reviewed the amended 9099-D which shows the correct section cited. Licensee signed amended LIC 9099-D, and received a copy of the report.

The Licensee and one assistant were providing care and supervision over 10 children during todays visit and was operating within the licensed capacity and ratio requirements. This report was reviewed with licensee Isabel Dopp, notice of site visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
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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