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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493006643
Report Date: 06/13/2024
Date Signed: 06/13/2024 04:08:17 PM

Document Has Been Signed on 06/13/2024 04:08 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:HEDE, MEGAN FCCHFACILITY NUMBER:
493006643
ADMINISTRATOR/
DIRECTOR:
HEDE, MEGANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 588-0498
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY: 14TOTAL ENROLLED CHILDREN: 17CENSUS: 6DATE:
06/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:22 PM
MET WITH:Megan HedeTIME VISIT/
INSPECTION COMPLETED:
04:07 PM
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A case management visit was made to the facility by Licensing Program Analyst (LPA) Y. Yang at the request of the licensee, Megan Hede. Licensee requested permission to use a previously designated off limits area listed as "Bedroom" on the facility sketch for childcare use. The LPA inspected the room and approved it for childcare use. LPA obtained an updated floor sketch from the licensee. There are no other changes to the facility. The master bedroom and bathroom and garage remain off limits.

A notice of site visit was given and must remain posted for 30 days. This report was reviewed with the licensee, Megan Hede. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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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