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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 041370473
Report Date: 04/21/2023
Date Signed: 04/21/2023 09:34:02 AM


Document Has Been Signed on 04/21/2023 09:34 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:CHICO CHRISTIAN PRESCHOOLFACILITY NUMBER:
041370473
ADMINISTRATOR:WANINK, TAMARAFACILITY TYPE:
850
ADDRESS:2801 NOTRE DAME BLVD.TELEPHONE:
(530) 879-8988
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:118CENSUS: 66DATE:
04/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Tamara WaninkTIME COMPLETED:
09:35 AM
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Licensing Program Analyst (LPA) conducted a case management visit to obtain a signature on amended LIC809D page dated 1/4/2023, and met with Administrator Tamara Wanink.

Signature obtained. Copy of report and notice of site visit was provided to Administrator Tamara Wanink.

Notice of Site visit must be posted for 30 days.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie HeltonTELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:
DATE: 04/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/21/2023
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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