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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010398
Report Date: 04/18/2024
Date Signed: 04/18/2024 10:45:20 AM

Document Has Been Signed on 04/18/2024 10:45 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:ROGERS, ANDREA FCCHFACILITY NUMBER:
483010398
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
04/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Andrea RogersTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye arrived and met with licensee Andrea Rogers to conduct a capacity increase for her family child care home.

The application for the capacity increase was received on March 29, 2023. There was a delay in the licensee obtaining the fire alarm pull station which she has now obtained. The pull station and the fire extinguisher is located next to the front door. There is a functional smoke and carbon monoxide detector.

The fire clearance was approved on April 10, 2024 by the Suisun City Fire Department.

The facility is approved as a large family child care home effective April 18, 2024.

A license reflecting the new large capacity will be sent to the licensee.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2024
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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