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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515405673
Report Date: 09/21/2022
Date Signed: 09/21/2022 11:08:59 AM


Document Has Been Signed on 09/21/2022 11:08 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:KAUR, RAJVINDER FAMILY CHILD CARE HOMEFACILITY NUMBER:
515405673
ADMINISTRATOR:KAUR, RAJVINDERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 755-1122
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:14CENSUS: 9DATE:
09/21/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Rajvinder KaurTIME COMPLETED:
11:15 AM
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On 9/21/22 at 10:40 AM, Licensing Program Analyst (LPA) J. Helton conducted a case management visit to view the new child care area at the facility. Licensee was operating in a converted garage and had a fire on 9/2/22. Due to the fire and reconstruction of the area, licensee has moved the child care into an extra space inside the home. LPA toured home inside and out at 10:40 AM and viewed the new space, as well as the garage and damage. Licensee has a separate living space that is now for child care. The off limits areas are the upstairs, main living room, kitchen and garage The areas are made inaccessible by locking doors and baby gates. Licensee has a fenced off area of the back yard that was and is still being used for outside play. All areas are clean and appropriate for preschool age children. LPA observed that there were no hazards accessible to children.

Licensee and assistant were supervising 9 children and operating in ratio.
There are no deficiencies during this visit.

Licensee will keep LPA informed on progress of construction and when/if the child area will move back into the converted garage space.

Exit interview was conducted with licensee Rajvinder Kaur. A copy of the report was given

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie HeltonTELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2022
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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