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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455406744
Report Date: 12/03/2019
Date Signed: 12/03/2019 12:05:53 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:CATERPILLAR CAMPUS PRESCHOOLFACILITY NUMBER:
455406744
ADMINISTRATOR:VINCENT, JENNIFERFACILITY TYPE:
850
ADDRESS:3313 BECHELLI LANETELEPHONE:
(530) 255-8070
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:64CENSUS: 53DATE:
12/03/2019
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Nicole Ayers Assist DirectorTIME COMPLETED:
11:40 AM
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A Collateral visit was conducted by Licensing Program Analyst, Wisehart who met with Nicole Ayers, Assist Director.

The LPA came to the facility to interview child (C1) in relation to an open complaint against another licensed facility. The LPA completed the interview with Child (C1) and Assist Director.

No deficiencies were cited during today's visit.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
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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