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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010010
Report Date: 10/24/2024
Date Signed: 10/24/2024 05:31:09 PM

Document Has Been Signed on 10/24/2024 05:31 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:ESCOBAR, VANESSA FCCHFACILITY NUMBER:
493010010
ADMINISTRATOR/
DIRECTOR:		ESCOBAR, VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 770-3527
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
10/24/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:06 PM
MET WITH:Vanessa EscobarTIME VISIT/
INSPECTION COMPLETED:
03:22 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
An unannounced plan of correction (POC) visit was made to the facility today by Licensing Program Analyst (LPA) Y. Yang. The LPA met with the facility's
licensee, Vanessa Escobar today. A tour of the facility was conducted by the licensee at 02:31pm. The licensee was previously cited on 10/16/24 for operating over ratio. During today's POC visit, the LPA observed the licensee and an assistant supervising six children and operating within ratio. The deficiency cited on 10/16/24 has been cleared and a written POC has also been submitted by the licensee on 10/18/24.

A notice of site visit was given and must remain posted for 30 days. This report was reviewed with the licensee, Vanessa Escobar. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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