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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010038
Report Date: 08/14/2023
Date Signed: 08/14/2023 09:24:28 AM

Document Has Been Signed on 08/14/2023 09:24 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:EL, SHELDON FCCHFACILITY NUMBER:
493010038
ADMINISTRATOR:EL, SHELDONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 708-8676
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:TIME COMPLETED:
09:20 AM
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On 08/14/2023, at 8:52am, Licensing Program Analysts, Amy Strother made an unannounced Case Management visit to the facility to verify non-operation at the facility. On 08/08/23 during a phone call beginning at 3:43pm, Licensee, Sheldon El (L1) informed LPA that she has moved out of her home. In an email to LPA Strother, dated 08/10/23, L1 stated that as of 06/25/23, her Family Child Care home has ceased to operate, stating that she has moved out of the home located at 1924 Cooper Drive. L1 did not disclose the date of the move out.

During today’s visit, LPA rang the doorbell at 1924 Cooper Drive and was greeted at the door by an adult male. The adult male stated that he was the painter, and the home is unoccupied. LPA observed several buckets of paint and painter tarps spread out on the floor of the home. No furniture was observed to be present, and no evidence that childcare was being provided at the facility was observed. The home appeared to be vacant.

LPA Strother will process the closure of the facility.

Licensee was not available for a signature. No signature is on file.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2023
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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