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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525407235
Report Date: 08/27/2020
Date Signed: 08/27/2020 02:57:18 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:BUTTERFLY BUNGALOWFACILITY NUMBER:
525407235
ADMINISTRATOR:SMITH, CHARLEENFACILITY TYPE:
850
ADDRESS:415 ANTELOPE BLVD., SUITE BTELEPHONE:
(530) 529-1500
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:10CENSUS: 0DATE:
08/27/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Trisha WilliamsTIME COMPLETED:
02:45 PM
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The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak by Licensing Program Analyst (LPA) Sandy Husband in response to an application submitted on 8/4/20 for an increase of capacity from 10 to 16 children on an existing preschool license. This program is operated by Northern California Child Development Inc. Operating hours are 8:30 am - 1:30 pm, Mon-Thur and follows the annual school calendar. The facility was toured inside and outside and the floor and yard plan were verified. Water is provided indoors via a water dispenser located by the front door. Individual water bottles are provided in the outdoor play area. The facility has a first aid kit on site. Medications are locked. The facility has a charged fire extinguisher rated at least 2A10BC, a working smoke detector and carbon monoxide detector on site. The Site Supervisor has proof of current CPR/First Aid which expires on 9/2020; a Mandated Reporter certificate, which expires 8/21/21, and a completed Preventive Health Practices which includes the nutrition and lead exposure training. The fire clearance was approved for 16 preschoolers on 8/14/20. The indoor capacity measured for 15 children and the outdoor yard area measured for 28 children. Therefore, the capacity increase is granted for 15 preschool children.

This report was reviewed and discussed with the Site Supervisor, Trisha Williams. 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 inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2020
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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