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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010212
Report Date: 12/23/2024
Date Signed: 12/23/2024 03:33:48 PM

Document Has Been Signed on 12/23/2024 03:33 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:PENROSE, CHRISTINA FCCHFACILITY NUMBER:
493010212
ADMINISTRATOR/
DIRECTOR:		CHRISTINA PENROSEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 529-7343
CITY:SEBASTOPOLSTATE: CAZIP CODE:
95472
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:21 PM
MET WITH:Christina PenroseTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 12/23/2024, at 2:21PM, Licensing Program Analyst, Selena Mariani conducted an unannounced Case Management visit to the facility and met with Licensee, Christina Penrose to verify operation at the facility, and to address the facility's forfeiture. Prior to visit, on 12/04/2024, the department was notified of the forfeiture.

During the visit, LPA observed no children in care and toured the rooms of where care was being provided. There was no evidence of operation and/or childcare being provided at the facility. Staff stated the last day of operation was on 10/31/2024. LPA requested and obtained the license/statement on closure with Licensee signature and date. The Licensee stated there is no longer a day care at her home.

Exit interview conducted and report was reviewed with the Licensee, Christina Penrose.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Selena Mariani
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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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