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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125407524
Report Date: 10/10/2024
Date Signed: 10/10/2024 01:13:53 PM

Document Has Been Signed on 10/10/2024 01:13 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:MOORE, LAURA FAMILY CHILD CARE HOMEFACILITY NUMBER:
125407524
ADMINISTRATOR/
DIRECTOR:
MOORE, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 460-0129
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 4DATE:
10/10/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Laura MooreTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On October 10, 2024 at 12:55 pm, Licensing Program Manager (LPM) Erin Virrueta and Licensing Program Analyst (LPA) Noah Wheeler made an unannounced visit for the purpose of serving a Temporary Suspension Order (TSO). The LPM explained the nature and purpose of the visit. Laura Moore accepted the accusation at 1:10 pm. There were four children in care during today’s visit.

The following documents were provided to the licensee:

1. Order for Temporary Suspension of License (TSO)

2. Statement to Respondent

3. Copy of Government Code Sections 11507.5, 11507.6 and 11507.7 Pursuant to Government Code Sections 11504 and 11505

4. Instructions for Licensees About the Summary of Charges

5. Summary of Charges for Parents of Children in Care

6. Accusation

Continued on 809-C

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Noah Wheeler
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: MOORE, LAURA FAMILY CHILD CARE HOME
FACILITY NUMBER: 125407524
VISIT DATE: 10/10/2024
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7. Notice to Respondent and/or Attorney of Record Regarding Statutes, Regulations, Written Directives, and Interim Licensing Standards

8. Request for Discovery

9. Notice of Defense

10. Notice of Language Services

While the order is in effect, the licensee is prohibited from operating the child day care facility. The written notice of the TSO was taped on the outside of the front door and must remain as long as the order is in effect. Licensee was informed that removal of this notice constitutes a violation of the law, a misdemeanor fine of up to $500.00.

The licensee shall post and provide copies of this licensing report to all parents/guardians and must give a copy of the Summary of Charges to the parent or legal guardian of each child receiving services in the facility until the Accusation is either dismissed, or resolved through the administrative process or Stipulated agreement. Each parent/guardian receiving a copy of the Summary of Charges shall sign and date form LIC9224, Acknowledgement of Receipt of Licensing Reports.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Noah Wheeler
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
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