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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010324
Report Date: 12/19/2024
Date Signed: 12/19/2024 11:35:26 AM

Document Has Been Signed on 12/19/2024 11:35 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:LITTLE FLOWERS MONTESSORIFACILITY NUMBER:
483010324
ADMINISTRATOR/
DIRECTOR:		BONNIE KAI YAN YIPFACILITY TYPE:
850
ADDRESS:2500 NORTH TEXAS STREETTELEPHONE:
(707) 665-5530
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 164TOTAL ENROLLED CHILDREN: 41CENSUS: 27DATE:
12/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Assistant center director Loubna WaazizTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) Elpidia Hernandez Torres arrived to the center unannounced to amend report issued on 08/80/24 and issue a civil penalty. The center was previously issued a deficiency on 12/12/23 through California Code of Regulations 101223(a)(3). Center was given a deficiency on 10/08/24 under the same regulation. Because the center was issued a deficiency under the same regulation within 12 months, it is considered a repeat citation, resulting in a civil penalty of $250. LPA issued the amended report from 10/08/24, reflecting the civil penalty and obtaining signatures on the report.

In addition LPA also obtain signatures on an Office meeting that was conducted virtually on 12/17/2024, and gave facility representative a copy of the report.

No other deficiencies was issued during today's visit. Notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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