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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343619199
Report Date: 09/24/2024
Date Signed: 09/24/2024 10:35:54 AM

Document Has Been Signed on 09/24/2024 10:35 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: 2DATE:
09/24/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Deanie GuerinTIME VISIT/
INSPECTION COMPLETED:
10:50 AM
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On September 23, 2024 at 10:20 a.m., Licensing Program Analyst (LPA) Christopher Bello conducted a follow up inspection and met with the Licensee, Deanie Guerin. The purpose of the inspection was in follow up to the Order for Temporary Suspension that was served to the Licensee on September 13, 2024 which resulted in the temporary closure of the license. LPA Bello observed that Deanie Guerin was the only adult present at time of inspection. Deanie was providing care for one family at time of inspection.

Exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024
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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