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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 081305623
Report Date: 05/05/2023
Date Signed: 05/05/2023 12:50:07 PM

Document Has Been Signed on 05/05/2023 12:50 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:SUNSET HIGH SCHOOL INFANT-TODDLER CENTERFACILITY NUMBER:
081305623
ADMINISTRATOR:FABRICIUS, ANTHONYFACILITY TYPE:
830
ADDRESS:2500 ELK VALLEY CROSS ROADTELEPHONE:
(707) 464-0380
CITY:CRESCENT CITYSTATE: CAZIP CODE:
95531
CAPACITY: 30TOTAL ENROLLED CHILDREN: 11CENSUS: 0DATE:
05/05/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Czarina EvanowTIME COMPLETED:
01:00 PM
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LPA Lynch visited the facility today for the purpose of a case management incident from 04/21/23 self-reported by the facility. LPA interviewed facility staff and facility representative about the incident and care and supervision of children in care. No citations issued during today's visit. Exit interview conducted, notice of site visit posted.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2023
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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