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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416649
Report Date: 05/12/2022
Date Signed: 05/12/2022 04:51:57 PM

Document Has Been Signed on 05/12/2022 04:51 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SUTTON, PATRICIAFACILITY NUMBER:
013416649
ADMINISTRATOR:SUTTON, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 846-4116
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
05/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Patricia SuttonTIME COMPLETED:
05:00 PM
NARRATIVE
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On May 12, 2022 Regional Manager (RM) Anika Evans and License Program Analyst (LPA) Lorraine Dacanay-Breaux made an unannounced case management visit for the purpose of serving a Temporary Suspension Order (TSO). Upon arriving Licensee was not present at initiation of this visit but she returned during the visit, finger print cleared husband Doug Sutton allowed us access to the home. 9 (nine) children in care, 3 (three infants), 3 (three) preschoolers and 3 school age. A copy of the current roster was obtained.
Adult son Benjamin Sutton was not present in the home but was contacted to return to the home to provide him with the service as the respondent to the TSO.
Adult son returned to the home but would not come in the home as he did not want to defy the Exclusion order, RM Evans met him outside the home on the street.

RM Evans provided licensee Patricia Sutton with
TSO(Temporary Suspension Order), Statement to Respondent, Government Code Statutes, Summary instructions(if any), Accusation, Confidential Name List, Request for Discovery, Notice of Defense (2).
RM read and provided these documents to the licensee and her adult Son.

Today the facility is receiving a deficiency for adult son being in the home 5/9/22 defying the exclusion order. Licensee was informed of her appeal rights and provided with a copy.
A Temporary Suspension Order notification is posted at the front door of the facility for parental review. This facility will be closed and unable to provide childcare services as of 5/12/22 6pm. Parental Packets regarding the TSO was left for distribution with the licensee and copies will be mailed (US POSTAL).

An exit interview was conducted with Licensee Patricia Sutton and a copy of this report is also given to licensee.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2022
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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Document Has Been Signed on 05/12/2022 04:51 PM - It Cannot Be Edited


Created By: Lorraine Dacanay-Breaux On 05/12/2022 at 04:05 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SUTTON, PATRICIA
FACILITY NUMBER: 013416649

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/12/2022
Section Cited
HSC
1569.50(c)

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1569.50(c) Denial, Suspension on revocation of license grounds, exclusion from licensure without right to petition for reinstatement. This was volilated by visit 05/09/2022 after an exclusion order was submitted for adult son. Son was found still residing and on premises. Which poses a risk to the health and safetly of the children in care.
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Facility has been served a TSO on 05/12/2022 and correction will be handled at hearing if licensee pursues.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chandra Charles
LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2022


LIC809 (FAS) - (06/04)
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