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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483008971
Report Date: 02/04/2025
Date Signed: 02/04/2025 11:05:05 AM

Document Has Been Signed on 02/04/2025 11:05 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:CURTIS, LATASHA FCCHFACILITY NUMBER:
483008971
ADMINISTRATOR/
DIRECTOR:		CURTIS, LATASHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 421-8106
CITY:SUISUN CITYSTATE: CAZIP CODE:
94585
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/04/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH:Adult Resident TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Elpidia Hernandez Torres arrived to the home to conduct a case management visit and confirm there are no children in care. Licensee previously notified the office and reported intention on re-locating but did not complete the re-location process. Community Care Licensing received information on 01/31/2025, that licensee was no longer providing services at the home address for "several months".

Upon LPAs arrival Adult Resident (A1) answered the door and reported they have been living in the home for about 3 months now, and there is no day care operating out of the home. A1 reported the previous owner did have a day care at the address, but the children currently present are their own grandchildren.

LPA confirmed there are no Child Care services being provided at the address. This Day care is closed permanently as of 11/01/2024
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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