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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045404935
Report Date: 08/18/2022
Date Signed: 08/18/2022 12:34:31 PM


Document Has Been Signed on 08/18/2022 12:34 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:E CENTER HS PGMS - SOUTH OROVILLE CENTERFACILITY NUMBER:
045404935
ADMINISTRATOR:MENDENHALL, FRANCINEFACILITY TYPE:
830
ADDRESS:2959 LOWER WYANDOTTE ROADTELEPHONE:
(530) 533-4074
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:27CENSUS: DATE:
08/18/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Francine Mendenhall & Emie ShamblinTIME COMPLETED:
12:45 PM
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A case management inspection was conducted by Licensing Program Analyst (LPA) Emilia Grisak who met with Area Manager Emie Shamblin and Center Director Francine Mendenhall. The purpose for the case management inspection was to follow up on a request received by CCL on 6/24/22 to add room 5 to the license without increasing capacity. A fire clearance was granted on 8/9/22 for the use of room 5. During today's inspection LPA measured and toured room 5 to determine the maximum number of children that can be cared for. Room 5 has adequate space for up to 8 children. The facility has previously been approved to have flexibility between rooms depending on the number of infants and toddlers enrolled.
LPA observed that room 5 has age appropriate toys and equipment and has a nap area and changing table area. There are also two toilets and two sinks available for children to use in the changing table room. Licensee understands that toddler component shall be conducted in areas separate from older and younger children. The facility is approved to use room 5 as part of the license, in addition to rooms 3 and 4.

No deficiencies were cited during today's visit. An exit interview was conducted and appeal rights provided.

A Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2022
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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