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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407957
Report Date: 09/02/2021
Date Signed: 09/02/2021 07:59:23 PM

Document Has Been Signed on 09/02/2021 07:59 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:NOAH'S ARK AT CALVARY CHAPEL CHICOFACILITY NUMBER:
045407957
ADMINISTRATOR:JACKSON, LISAFACILITY TYPE:
840
ADDRESS:1888 SPRINGFIELD DRIVETELEPHONE:
(530) 487-0776
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY: 28TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/02/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Lisa JacksonTIME COMPLETED:
03:20 PM
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On 9/2/2021 at 1:30pm, Licensing Program Analyst (LPA) Laura Chavez conducted a prelicensing inspection to the facility in response to an application received requesting a school-age license. The requested capacity is 28. A fire inspection approval was received on 7/27/2021. The facility is located at the Calvary Chapel Chico building. This is a combination center. The facility is currently licensed for a preschool and infant center. The school-age program will operate in Rooms #6, #7 and #10. Days and hours of operation will be Monday-Friday; 7:30am-5:30pm. The applicant understands that infants, preschoolers and school age children are not to be commingled inside or outside. All staff or other individuals have a criminal record clearance or exemption. At least one staff person has current CPR and First Aid training. There are working smoke alarms, carbon monoxide detectors and approved fire extinguishers in the facility. All exits are marked. The facility was toured inside and outside and measured for space. There are two separate bathrooms that provide individual privacy for school-age children in care. There are eight sinks and 19 toilets available. There is a separate staff bathroom. The licensee understands that children shall be escorted to the bathroom while maintaining teacher:child ratios in the classrooms. A designated sick room will be used as the isolation area for a sick child. Poisons are locked in the janitorial closet and cleaning supplies are inaccessible to children. Children will be required to bring lunch from home. Water jugs and disposable cups are available inside and outside. There are age appropriate toys and activities for children.

Report continued: See LIC 809-C
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: NOAH'S ARK AT CALVARY CHAPEL CHICO
FACILITY NUMBER: 045407957
VISIT DATE: 09/02/2021
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A designated fenced in outdoor play area for school-age children is located behind the facility. The outdoor play area provided for school-age children is physically separated from space provided for infants and preschool age children. A waiver is in place to share Room #5, designated as an indoor play space, with preschool children at different times. There are no bodies of water observed and none will be added without the Department's prior approval. The following information regarding the American Disabilities Act (ADA) was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: http://www.ada.gov/childqanda.htm. This report was reviewed and discussed with the applicant. All licensing reports are public information and must be made available upon request for at least three years.

The facility is ready for licensure.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
LIC809 (FAS) - (06/04)
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