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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623567
Report Date: 06/28/2022
Date Signed: 06/28/2022 02:36:22 PM

Document Has Been Signed on 06/28/2022 02:36 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:RONINGER, BONNIEFACILITY NUMBER:
343623567
ADMINISTRATOR:RONINGER, BONNIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 413-8640
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
06/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Bonnie RoningerTIME COMPLETED:
02:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kelly Ferrara and Licensing Program Manager (LPM) Natalie Dunaway conducted a case management inspection and met with Licensee Bonnie Roninger.

LPA and LPM came to the home to conduct an annual inspection, however the LPA was not able to complete the inspection due to computer issues.

Exit interview was conducted and a copy of the report was left with the Licensee.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2022
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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