<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009312
Report Date: 03/14/2023
Date Signed: 03/14/2023 10:05:25 AM

Document Has Been Signed on 03/14/2023 10:05 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:GILMORE, ALMA FCCHFACILITY NUMBER:
483009312
ADMINISTRATOR:GILMORE, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 718-8963
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/14/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:Licensee Alma GilmoreTIME COMPLETED:
10:10 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/14/2023, Licensing Program Anaylst (LPA) Elpidia Hernandez Torres arrived to the facility to conduct a case management visit and confirm closure of the day care. LPA received the licensee's license with letter to surrender. Licensee's last day with children in care was in October of 2021. She had gone on in-active at that time. Licensee decided to close permanently as of 03/02/2023. LPA toured the home and grounds and confirmed there were no children in care. There was no sign of child care being provided, no signs posted and no child care furniture.

LPA confirmed the Family Child Care Home was closed permanently as of 03/02/2023.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1