<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010114
Report Date: 02/28/2024
Date Signed: 02/28/2024 02:13:33 PM

Document Has Been Signed on 02/28/2024 02:13 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:CIRCLE OF FRIENDS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
483010114
ADMINISTRATOR:TANYA MCKNEELYFACILITY TYPE:
850
ADDRESS:3045 ROCKVILLE ROADTELEPHONE:
(707) 425-2717
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY: 99TOTAL ENROLLED CHILDREN: 35CENSUS: 29DATE:
02/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:Farm SaeleeTIME COMPLETED:
02:24 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Robert Maciel made a visit to the facility on the request of facility representative, Farm Saelee. Facility Representative requested assistance in transferring the fingerprint clearance of staff members to the facility and understanding the requirements for new directors and what paperwork they need to submit to the department.

LPA reviewed the documents required in the director's packet with the facility representative and reviewed the process for transferring clearance of staff to the facility.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1