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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483000524
Report Date: 02/04/2022
Date Signed: 03/06/2022 07:04:27 PM


Document Has Been Signed on 03/06/2022 07:04 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:BERT & ERNIE'S PRESCHOOLFACILITY NUMBER:
483000524
ADMINISTRATOR:BAILEY, TERRIFACILITY TYPE:
850
ADDRESS:255 NORTH LINCOLN STREETTELEPHONE:
(707) 678-4440
CITY:DIXONSTATE: CAZIP CODE:
95620
CAPACITY:83CENSUS: 45DATE:
02/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Ashleigh OwensTIME COMPLETED:
03:30 PM
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On 2/4/2022 at 1:50pm Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced Case Management inspection to the facility and met with Director Leah Flerschinger. During today's inspection LPA conducted interviews between 2:00pm - 3:05pm with Staff 3, 4 and 5 and Child 1.

All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's tele-inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2022
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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