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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
515405496
Report Date:
01/24/2020
Date Signed:
01/24/2020 08:19:27 AM
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:
FUSION PRESCHOOL ACADEMY II
FACILITY NUMBER:
515405496
ADMINISTRATOR:
EVERETT, KELLI
FACILITY TYPE:
850
ADDRESS:
1191 LIVE OAK BLVD.
TELEPHONE:
(530) 674-7595
CITY:
YUBA CITY
STATE:
CA
ZIP CODE:
95991
CAPACITY:
54
CENSUS:
9
DATE:
01/24/2020
TYPE OF VISIT:
POC
UNANNOUNCED
TIME BEGAN:
08:01 AM
MET WITH:
Dante Walters
TIME COMPLETED:
08:25 AM
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Licensing Program Analyst (LPA) Martinez conducted an unannounced plan of correction visit and met with Director Dante Walters. Today's visit was to review documents regarding the previous Type A citation acknowledgment of receipt of licensing reports. LPA previously received documentation faxed to the department on 1/21/2020. LPA observed the documents and cleared the citation.
SUPERVISOR'S NAME:
Erin Virrueta
TELEPHONE:
(530) 895-4325
LICENSING EVALUATOR NAME:
Mikah Martinez
TELEPHONE:
(530) 895-4014
LICENSING EVALUATOR SIGNATURE:
DATE:
01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/24/2020
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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