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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283010007
Report Date: 02/07/2024
Date Signed: 02/09/2024 07:07:20 AM

Document Has Been Signed on 02/09/2024 07:07 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:MCGUIRE, KAILEY FCCHFACILITY NUMBER:
283010007
ADMINISTRATOR:MCGUIRE, KAILEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 260-5434
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:TIME COMPLETED:
12:16 PM
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On 02/07/2024 Licensing Program Analyst (LPA) M. Mohr arrived at the facility to conduct a confirmation of closure. Licensee emailed LPA on 02/05/2024 a copy of her license and a statement that she no longer is operating her childcare. LPA did not see or hear children in the home, no one answered the door. It does not appear that care is being provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
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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