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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 170102025
Report Date: 06/12/2024
Date Signed: 06/12/2024 12:00:37 PM

Document Has Been Signed on 06/12/2024 12:00 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:GARRISON FAMILY CHILD CARE HOMEFACILITY NUMBER:
170102025
ADMINISTRATOR/
DIRECTOR:		GARRISON, LOUISEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 274-1143
CITY:NICESTATE: CAZIP CODE:
95464
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/12/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Facility Representative Not AvailableTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 06/12/2024, at 11:25AM, Licensing Program Analyst, Sebastian Phouthavong made an announced Case Management visit to the facility to verify operation at the facility and to address the home’s swimming pool. Prior to visit, on 05/28/2024, Licensee notified LPA on the updated fencing surrounding the pool. A Facility Representative was not available during this time of visit, but Licensee, Louise Garrison allowed permission for LPA to conduct an inspection to the facility.

During the visit, LPA toured only the backyard area of the home. LPA observed the swimming pool to be fully fenced and inaccessible to daycare children. The fencing appeared to be at least five feet high and be constructed so that the fence does not obscure the pool from view. The fence gate had a self-latching device.

LPA observed that the facility has met the fencing requirements for any bodies of waters as of today’s visit.

A notice of site visit will be given and must remain posted for 30 days.

Facility Representative signature could not be provided. LPA will provide a copy of the report to Licensee by email.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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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