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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283009830
Report Date: 06/24/2024
Date Signed: 06/24/2024 12:16:16 PM

Document Has Been Signed on 06/24/2024 12:16 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:LITTLE SUNSHINE LEARNING CENTERFACILITY NUMBER:
283009830
ADMINISTRATOR/
DIRECTOR:
WHITESIDE, JULIETAFACILITY TYPE:
850
ADDRESS:711 SUNNYSIDE ROADTELEPHONE:
(702) 786-2237
CITY:SAINT HELENASTATE: CAZIP CODE:
94574
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 8DATE:
06/24/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Julieta WhitesideTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA), Mindy Mohr made an unannounced Case Management visit to verify operational status of the facility. The facility currently has an outstanding annual fee of $363.00 that was due by 12/28/2023. The Department has made multiple attempted contacts via telephone and mailed multiple reminders to notify Licensee (LS) of the outstanding fee, however; LS did not respond.

During today's visit LPA met with LS who stated she would pay the fees immediately. LS stated that she was aware of the unpaid fees and planned to pay them on 07/03/2024. LPA discussed the importance of keeping annual fees current. LS paid the fees while LPA was present. LPA confirmed fees were paid on 06/24/2024.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Julieta Whiteside. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2024
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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