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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619199
Report Date: 02/16/2023
Date Signed: 02/16/2023 09:11:07 AM

Document Has Been Signed on 02/16/2023 09:11 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:GUERIN, DEANIEFACILITY NUMBER:
343619199
ADMINISTRATOR:GUERIN, DEANIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 395-1916
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/16/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Deanie GuerinTIME COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:30am for a Plan of Correction inspection regarding the deficiencies cited on LIC809D dated 2/7/2023. LPA met with licensee Deanie Guerin. Also present was licensee’s daughter acting as an assistant. Today’s census at time of inspection there were seven children. LPA consulted licensee regarding the safe sleep regulations.

Based upon today’s inspection, LPA’s observed that all deficiencies are cleared as of today.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the director and provided copies. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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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