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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 233010008
Report Date: 08/11/2021
Date Signed: 08/11/2021 10:28:29 AM

Document Has Been Signed on 08/11/2021 10:28 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:RYAN, SARAH FCCHFACILITY NUMBER:
233010008
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/11/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sarah RyanTIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Glenn Ouye met with Sarah Ryan to conduct a capacity increase case management visit. The facility has functioning carbon monoxide and smoke detectors. There is a fire extinguisher rated at 3A40BC. The licensee conducts fire drills two times a year. The program opens and closes in conjunction with the school districts.

The fire inspector returned while the inspection was in progress. He returned to follow up and approved the capacity increase.

The licensee is aware of the child age ratio requirements as a large and small family child care home.

The facility is approved to operate as a large FCCH effective 8/11/2021.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2021
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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