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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525403199
Report Date: 10/06/2021
Date Signed: 10/06/2021 02:08:04 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:METTEER STATE PRESCHOOLFACILITY NUMBER:
525403199
ADMINISTRATOR:HAYTASINGH, SHARONFACILITY TYPE:
850
ADDRESS:695 KIMBALL ROADTELEPHONE:
(530) 529-5214
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:24CENSUS: 14DATE:
10/06/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Alyssa McCombsTIME COMPLETED:
10:20 AM
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A Case Management visit was conducted on 10/6/21, by Licensing Program Analyst, Wisehart who met with Alyssa McCombs, Director for the Tehama County Department of Educations Early Childhood Programs.

The licensee requests a waiver to allow 12 special education children from the Tehama Extensive Needs program (an unlicensed program) to mainstream in the outdoor activity area with children from the Metteer State Preschool. The LPA came to tour the facility and to measure to see if there was adequate outdoor play area to accommodate 12 special education children in addition to the maximum capacity of 24 for the licensed program.

The area measured to accommodate for the requested 36 school children therefore, the LPA will submit the waiver request for review and approval.

No title 22 deficiencies were issued during today's visit.

A notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
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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