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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
045405262
Report Date:
08/07/2019
Date Signed:
08/07/2019 04:44:00 PM
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:
LAURA'S DAYCARE CENTER & PRESCHOOL
FACILITY NUMBER:
045405262
ADMINISTRATOR:
KOLLER, KELLI
FACILITY TYPE:
850
ADDRESS:
475 E. 5TH AVENUE
TELEPHONE:
(530) 343-1516
CITY:
CHICO
STATE:
CA
ZIP CODE:
95926
CAPACITY:
36
CENSUS:
DATE:
08/07/2019
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
04:10 PM
MET WITH:
Kelli Koller, Director
TIME COMPLETED:
04:50 PM
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A case management unannounced inspection was conducted by Licensing Program Analysts (LPAs) Laura Chavez and Sandy Husband for the purpose of measuring the outdoor play structure.
SUPERVISOR'S NAME:
Megan Aviles
TELEPHONE:
(530) 895-5984
LICENSING EVALUATOR NAME:
Sandra Husband
TELEPHONE:
530-895-5822
LICENSING EVALUATOR SIGNATURE:
DATE:
08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/07/2019
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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