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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 535407880
Report Date: 03/30/2021
Date Signed: 03/30/2021 05:16:09 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:CROSBY-STEVENS, SHYANNE FAMILY CHILD CARE HOMEFACILITY NUMBER:
535407880
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
03/30/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
05:00 PM
MET WITH:Shyanne Crosby-StevensTIME COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) Kiriko Lynch conducted a Licensee initiated case management inspection for a large family child care home (FCCH) application that was received by the Department. The Licensee has requested a capacity increase to 14 children for her FCCH. The facility case management inspection was conducted via tele-inspection due to the current state of emergency regarding the Covid-19 outbreak.

Facility had a recent change of location prelicensing tele-inspection on 02/19/21. LPA toured the FCCH interior and exterior. The Licensee was supervising one child and was operating within the limitations of her current license. The LPA reviewed the ratios for a large license and the Licensee acknowledged she understood the ratio requirements. Fire clearance was approved by the local fire authority on 03/23/21, and received by the Department.

Capacity increase to a large facility child care home is approved today on 03/30/21.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2021
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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