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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619199
Report Date: 09/13/2024
Date Signed: 09/13/2024 11:41:59 AM

Document Has Been Signed on 09/13/2024 11:41 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:GUERIN, DEANIEFACILITY NUMBER:
343619199
ADMINISTRATOR/
DIRECTOR:		GUERIN, DEANIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 395-1916
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
09/13/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Deanie GuerinTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program manager (LPM) Amanda Blesi and Licensing Program Analyst (LPA) Christopher Bello met with Licensee Deanie Guerin for an unannounced case management inspection for the purpose of serving a Temporary Suspension Order (TSO). This report and the TSO documents were left with Licensee Deanie Guerin.

The following documents are included in the TSO packet: Order for Temporary Suspension of Licensee Prior to Hearing, Statement to Respondent, Government Code sections, Instructions for Licensee about the Summary of Charges, Accusation (License Revocation), Request for Discovery and Notice of Defense (two copies).

Licensee may not operate her Family Child Home facility after the close of business on Friday, September 13, 2024.

Notice LIC9031 was placed on the front door.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
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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