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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 041370397
Report Date: 06/30/2022
Date Signed: 06/30/2022 11:19:43 AM


Document Has Been Signed on 06/30/2022 11:19 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:CHICO COMMUNITY DAY CARE INFANT/TODDLER PROGRAMFACILITY NUMBER:
041370397
ADMINISTRATOR:GIVENS, ELIZABETHFACILITY TYPE:
830
ADDRESS:2224 ELM STREETTELEPHONE:
(530) 891-5363
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:17CENSUS: DATE:
06/30/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Elizabeth GivensTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Kirk Marks conducted a case management inspection on 6/30/2022 at 10:15am to the facility for an increase of capacity. The Department received an application for a capacity increase on 5/16/2022 and an updated application on 6/30/2022 to increase the capacity from 17 children to 30, which would be a total of 15 infants with 15 toddlers. The facility added a classroom to the license which was previously used for the school age children which was closed in March 2022. LPA conducted an inspection of the facility inside and out and measured area of new room to be added to the license. LPA determined that the facility can add up to 15 more children from the room that was added. This room will only be used for toddlers. The room that was added has one toilet and one sink. which will accommodate the requested increase in capacity. Fire inspection was conducted on 6/15/2022 and clearance was granted to the facility for a total capacity of 30 children.
LPA determined the facility has sufficient room and amenities to accommodate the increase in capacity from 17 children to 30 and approves the increase.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk MarksTELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2022
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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