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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010130
Report Date: 12/23/2024
Date Signed: 12/23/2024 03:40:36 PM

Document Has Been Signed on 12/23/2024 03:40 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 CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:COLE, CAROL FCCHFACILITY NUMBER:
493010130
ADMINISTRATOR/
DIRECTOR:		COLE, CAROLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 207-2610
CITY:SEBASTOPOLSTATE: CAZIP CODE:
95472
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:58 PM
MET WITH:N/ATIME VISIT/
INSPECTION COMPLETED:
02:06 PM
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Today, an unannounced visit was conducted to the facility by Licensing Program Analyst (LPA) Selena Mariani to follow up regarding non-payment of annual fees. On 11/04/2024, 11/19/24 and 12/23/24, LPA Selena left Licensee, Carol Cole, voicemail messages regarding fees due on 08/26/24 with no response. Department of Social Services mailed 3 letters to L1 with the Final Notice mailed on 11/25/24, followed by a Forfeiture of License letter for Licensee has failed to pay all applicable and accrued fees. LPA observed canvas signs on the fence facing the street and outgoing voicemail references the preschool.

During today’s visit LPA did not see or hear children outside, but could not access the property due to closed gates. LPA was unable to verify if care is being provided or not.

A copy of this report, along with a closure letter will be mailed to the mailing address on file.

Licensee was not available for a signature. No signature is on file.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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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