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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
485407994
Report Date:
08/26/2024
Date Signed:
08/26/2024 09:57:00 AM
Document Has Been Signed on
08/26/2024 09:57 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:
VALDEZ-SANCHEZ FAMILY CHILD CARE HOME
FACILITY NUMBER:
485407994
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP CODE:
CAPACITY:
8
TOTAL ENROLLED CHILDREN:
0
CENSUS:
0
DATE:
08/26/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:
Licensee Patricia
TIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Elpidia Hernandez Torres arrived to the home to conduct an inspection. The licensee was previously in-active and went back to active status as of February 2024. LPA arrived to the home and licensee reported the day care was still not active and there were no children enrolled in the day care due to some renovations occurring in the back yard as well as some personal issues that need to be sorted. Licensee reported the day care will remain closed until all personal matters are sorted out. Licensee will call LPA when day care re-opens.
LPA reminded licensee to pay licensing fees in November 2024. There were no deficiencies issued today.
SUPERVISORS NAME
:
Leslie Lepori
LICENSING EVALUATOR NAME
:
Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/26/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/26/2024
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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