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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125406548
Report Date: 07/01/2019
Date Signed: 07/01/2019 12:10:04 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:LITTLE LEARNERS CENTERFACILITY NUMBER:
125406548
ADMINISTRATOR:ARNOT, KRYSTALFACILITY TYPE:
850
ADDRESS:1111 M STREETTELEPHONE:
(707) 633-6280
CITY:ARCATASTATE: CAZIP CODE:
95521
CAPACITY:55CENSUS: 25DATE:
07/01/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Sara DahlTIME COMPLETED:
12:15 PM
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An inspection was conducted by Licensing Program Analyst (LPA) Kiriko Lynch and LPA Jaime Snow for the purpose of confirming the removal of an excluded individual. LPAs met with the Director who stated the individual is not present or employed at the facility. Director stated and confirmed the individual never worked at the facility, and she is aware that the individual is not permitted to be in the facility at any time when children are in care. LPAs toured all the rooms of the facility, and observed the excluded individual was not present. Based on evidence obtained during today's visit, LPAs verified the individual is not present, employed, or residing at the facility. LPAs advised the licensee to disassociate the individual from their roster if needed, and submit an updated LIC 500 if needed. Verification of removal is complete.

No Title 22 regulations were cited at today's visit. Exit interview conducted with Director, Notice of Site Visit posted.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
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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