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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009424
Report Date: 02/02/2024
Date Signed: 02/02/2024 04:48:06 PM

Document Has Been Signed on 02/02/2024 04:48 PM - 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:GRAY-MCDANIELS, CARLA FCCHFACILITY NUMBER:
483009424
ADMINISTRATOR:CARLA GRAY-MCDANIELSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 425-4057
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 3DATE:
02/02/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Licensee Carla Gray-McDanielsTIME COMPLETED:
04:55 PM
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
Licensing Program Manager (LPM), Leslie Lepori, and Licensing Program Analysts (LPA) Elpidia Hernandez Torres and Melchisedeck Augustin made an unannounced visit on 02/02/2024 for the purpose of serving a Temporary Suspension Order (TSO). The LPM explained the TSO action to Licensee, Carla Gray-McDaniels. Licensee accepted the accusation at 04:20PM

The following documents were provided to the Licensee:

1. Temporary Suspension Order (TSO)

2. Statement to Respondent

3. Government Code Sections

4. Summary Instructions for Licensee

5. Summary of Charges

6. Accusation

7. Request for Discovery

8. Notice of Defense (2)

While the order is in effect, the licensee is prohibited from operating the child day care facility. There were three children in care during today’s visit. The written notice of the TSO was taped on the outside of the front door and must remain as long as the order is in effect. Licensee was informed that removal of this notice constitutes a violation of the law, a misdemeanor fine of up to $500.00. The licensee shall post and provide copies of this licensing report to all parents/guardians and must give a copy of the Summary of Charges to the parent or legal guardian of each child receiving services in the facility until the Accusation is either dismissed or resolved through the administrative process or Stipulated agreement. Each parent/guardian receiving a copy of the Summary of Charges shall sign and date form LIC9224, Acknowledgement of Receipt of Licensing Reports.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2024
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