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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009675
Report Date: 08/28/2024
Date Signed: 08/28/2024 01:19:42 PM

Document Has Been Signed on 08/28/2024 01:19 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 CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:LAFAGES, SINDY FCCHFACILITY NUMBER:
483009675
ADMINISTRATOR/
DIRECTOR:
LAFAGES, SINDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 563-1255
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY: 14TOTAL ENROLLED CHILDREN: 16CENSUS: 8DATE:
08/28/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:46 PM
MET WITH:Sindy LafagesTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 08/28/2024 a collateral inspection was conducted to the facility by Licensing Program (LPA), Cindy Castro. LPA met with Licensee, Sindy Lafages. The licensee and two assistants were caring for an supervising 8 children. The facility’s operating hours are 7:00 AM to 04:30 PM, Monday - Friday. During today's collateral inspection LPA reviewed records and made observations.
This report was reviewed and discussed with Site Licensee, Sindy Lafages.

Notice of site visit shall be posted for 30 days from today's inspection.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2024
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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