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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045403573
Report Date: 08/17/2023
Date Signed: 08/17/2023 09:57:18 AM

Document Has Been Signed on 08/17/2023 09:57 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:ASSOCIATED STUDENTS CHILDREN'S CENTERFACILITY NUMBER:
045403573
ADMINISTRATOR:HANSEN, JACKIEFACILITY TYPE:
830
ADDRESS:CSU CHICOTELEPHONE:
(530) 898-5865
CITY:CHICOSTATE: CAZIP CODE:
95929
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
08/17/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Jackie Hansen, DirectorTIME COMPLETED:
10:10 AM
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On 8/17/23 @ 8:55am a case management visit was conducted to the facility by Licensing Program Analyst (LPA) E. Laird in response to room change request by the facility director. The facility is currently licensed to occupy room AJH110 (Willow Room) with a total capacity of 16. Licensee is requesting they convert a preschool class room into an additional infant room which will be in room AJH121 (Maple Room). The indoor and outdoor capacity measured for 15 children. Licensee intends to split total capacity of 16 infants between classroom AJH110 and AJH121, with 8 children in each classroom. There will be no change of capacity to the license. Napping area had sufficient number of cots/cribs, changing tables were within reach of the sink, and there were adequate hand washing stations. The fenced play area is equipped with shade and cushioning material (grass, rubber mats) under the climbing structure to absorb falls. There were no bodies of water observed.

The additional room is approved, effective 8/17/23.

Notice of Site Visit shall be posted for 30 days from today's visit
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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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