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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 451373105
Report Date: 12/22/2022
Date Signed: 12/23/2022 07:30:02 AM


Document Has Been Signed on 12/23/2022 07:30 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:TRINITY LUTHERAN PRESCHOOLFACILITY NUMBER:
451373105
ADMINISTRATOR:CONNOR, CRYSTALFACILITY TYPE:
850
ADDRESS:2440 HILLTOP DR.TELEPHONE:
(530) 221-6686
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:63CENSUS: 23DATE:
12/22/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Crystal Connor, DirectorTIME COMPLETED:
01:00 PM
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A case management visit was conducted to the facility by LPA N. Cunningham in response to room change request by the licensee. The licensee requested to operate in room 1, 4, 5, the fellowship hall, and gymnasium. The Redding Fire Department approved the space on 11/23/22. There will be no change to the outdoor play yard. There are six toilets and one urinal and six hand washing sinks which is sufficient. The fenced play area is equipped with shade and cushioning material (pea gravel) under the climbing structure to absorb falls.

The room change is approved, effective 12/22/22.

Notice of Site Visit shall be posted for 30 days from today's visit
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2022
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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