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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010073
Report Date: 06/11/2024
Date Signed: 06/11/2024 11:57:21 AM

Document Has Been Signed on 06/11/2024 11:57 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:REED, KURTIS & DENATALE, JEANNE-LOUISE FCCHFACILITY NUMBER:
493010073
ADMINISTRATOR/
DIRECTOR:		REED,KURTIS&DENATALE,JEANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 479-4306
CITY:COTATISTATE: CAZIP CODE:
94931
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
06/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:25 AM
MET WITH:Kurtis Reed and Jeanne-Louise "Scout" ReedTIME VISIT/
INSPECTION COMPLETED:
11:56 AM
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An unannounced case management visit to the facility was made by Licensing Program Analyst (LPA) Y. Yang to provide technical assistance to the licensees regarding Title 22 regulations. Licensees notified the LPA that they are requesting a name change on their license due to becoming married and having their legal names changed. The LPA obtained a marriage certificate and an updated LIC279 from the licensees.

The exit interview has been conducted and this report has been reviewed with the licensees, Kurtis and Scout Reed. There were no Title 22 deficiencies cited during today's visit. Notice of Site Visit shall be posted for 30 days.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/11/2024
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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