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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
515405919
Report Date:
11/07/2019
Date Signed:
11/07/2019 11:56:33 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 (INFANT)
FACILITY NUMBER:
515405919
ADMINISTRATOR:
EVERETT, KELLI
FACILITY TYPE:
830
ADDRESS:
1191 LIVE OAK BLVD.
TELEPHONE:
(530) 437-8216
CITY:
YUBA CITY
STATE:
CA
ZIP CODE:
95991
CAPACITY:
12
CENSUS:
6
DATE:
11/07/2019
TYPE OF VISIT:
POC
UNANNOUNCED
TIME BEGAN:
11:35 AM
MET WITH:
Kelli Everett
TIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Martinez met with Administrator Kelli Everett the plan of correction sent to the department on 10/29/19 regarding the Infant citation on 10/25/19. The Director Dante Walters sent in a plan however it stated awake activities would be provided around sleeping infants. LPA discussed with Kelli Everett the issue with the plan and asked for a new plan to be constructed. LPA provided examples that the facility could use to assist when there is one staff present in the facility with children awake and asleep. LPA advised Kelli that a plan could be submitted by 11/21/19.
SUPERVISOR'S NAME:
Erin Virrueta
TELEPHONE:
(530) 895-4325
LICENSING EVALUATOR NAME:
Mikah Martinez
TELEPHONE:
(530) 895-4014
LICENSING EVALUATOR SIGNATURE:
DATE:
11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/07/2019
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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