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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010539
Report Date: 02/29/2024
Date Signed: 02/29/2024 12:41:00 PM

Document Has Been Signed on 02/29/2024 12:41 PM - 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:SCHLAGER PAIGE & JENNIFER FCCHFACILITY NUMBER:
493010539
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 3CENSUS: 2DATE:
02/29/2024
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Paige SchlagerTIME COMPLETED:
11:28 AM
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A post licensing visit was made to the facility by Licensing Program Analyst (LPA) Y. Yang. During today's visit, the LPA provided technical assistance to the licensee and provided information to the licensee regarding Title 22 regulations, infant safe sleep regulations, and best practice recommendations.

The exit interview has been conducted and this report has been reviewed with the licensee, Paige Schlager. There were no Title 22 deficiencies cited during today's visit. Notice of Site Visit shall be posted for 30 days.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/29/2024
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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