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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455406201
Report Date: 06/04/2020
Date Signed: 06/09/2020 01:09:33 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:KINDERLAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
455406201
ADMINISTRATOR:WILSON, SUSANFACILITY TYPE:
840
ADDRESS:1630 VICTOR AVENUETELEPHONE:
(530) 223-6161
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:28CENSUS: 24DATE:
06/04/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Susan WilsonTIME COMPLETED:
02:00 PM
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The facility inspection was conducted via telephone call due to the current state of emergency regarding the COVID-19 outbreak. The Licensing Program Analyst (LPA) conducted the visit in response to a self reported incident incident occurring on 5/22/20 & reported to Community Care Licensing (CCL) on 5/26/20 as required. The LPA discussed the incident with the Licensee, Susan Wilson and requested contact information for the staff and parents for follow up.

No violations were observed during the tele-visit.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2020
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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