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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407516
Report Date: 10/23/2020
Date Signed: 10/23/2020 11:19:47 AM

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:INNOVATIVE PRESCHOOLFACILITY NUMBER:
045407516
ADMINISTRATOR:SZCZEPANSKI, CATHERINEFACILITY TYPE:
850
ADDRESS:1560 MANZANITA AVENUETELEPHONE:
(530) 680-4806
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY:60CENSUS: 18DATE:
10/23/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Cate Szczepanski, DirectotTIME COMPLETED:
11:10 AM
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The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak by Licensing Program Analyst (LPA) Sandy Husband in response to an approved waiver. The facility was toured inside and outside. Operating hours will be 7:30 AM to 5:30 PM, M-F. The conditions of the waiver are being met and the program is complying with the Guidance Related to Cohorts. The waiver is approved for a capacity not to exceed 60 children between the ages of 2 years old and entry into 2nd grade. The waiver expires 1/19/21. The waiver will be posted in a prominent location.

This report was reviewed and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2020
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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