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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 121371112
Report Date: 12/08/2022
Date Signed: 12/08/2022 11:41:50 AM


Document Has Been Signed on 12/08/2022 11:41 AM - 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:WOOLLEY, LINDA FAMILY CHILD CARE HOMEFACILITY NUMBER:
121371112
ADMINISTRATOR:WOOLLEY, LINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 768-3059
CITY:HYDESVILLESTATE: CAZIP CODE:
95547
CAPACITY:12CENSUS: 1DATE:
12/08/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Linda WoolleyTIME COMPLETED:
11:45 AM
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LPA Lynch visited the home for an annual inspection, and Licensee stated she would like to close her license due to she is only caring for one child currently and will not be enrolling anymore children. Licensee stated she only cares for one child currently part time, and no other unrelated children. LPA observed one child in care at the home at the time of the visit. LPA advised Licensee will be able to care for all children related to her by blood or marriage without being licensed. Licensee provided LPA a signed written statement stating her license is closed as of today 12/08/2022. Exit interview conducted.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2022
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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