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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 123007301
Report Date: 08/13/2021
Date Signed: 08/13/2021 05:00:54 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:MAD RIVER MONTESSORI PRESCHOOLFACILITY NUMBER:
123007301
ADMINISTRATOR:DILORENZO, JULIEFACILITY TYPE:
850
ADDRESS:1710 JANES ROADTELEPHONE:
(707) 822-4027
CITY:ARCATASTATE: CAZIP CODE:
95521
CAPACITY:30CENSUS: 0DATE:
08/13/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Julie DilorenzoTIME COMPLETED:
05:00 PM
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A case management Licensee initiated inspection was conducted by Licensing Program Analyst (LPA) Kiriko Lynch in response a capacity increase application received on 06/01/21. The facility was toured inside and outside, and the floor and yard plan submitted by the licensee were verified. The current classroom and playground previously measured space are sufficient to meet the request to increase capacity to 38 preschool children. The fire clearance was received by Licensing, and was approved by the local fire authority on 06/03/21. Capacity increase is approved today, 08/13/21.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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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