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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573622670
Report Date: 05/02/2024
Date Signed: 05/02/2024 10:35:24 AM


Document Has Been Signed on 05/02/2024 10:35 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:YCOE WOLFSKILL CENTERFACILITY NUMBER:
573622670
ADMINISTRATOR:MEZA-LARA, SILVIAFACILITY TYPE:
850
ADDRESS:200 BAKER STREETTELEPHONE:
(530) 795-6154
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY:24CENSUS: 10DATE:
05/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Maria Ramirez-AguirreTIME COMPLETED:
10:45 AM
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On 05/02/24, Licensing Program Analyst (LPA) Jennie Tedlos met with Lead Teacher Maria Ramirez-Aguirre. LPA was granted entrance to the facility. The purpose of today’s visit was to amend a 809-C report originally created on 04/23/24. During today's visit there were 10 children present being supervised by 3 staff members.

The report was originally signed by the Site Coordinator Silvia Meza-Lara. LPA spoke with the Site Coordinator and it has been permitted for the Lead Teacher to sign the amended report in her place.

This report along with the amended report were reviewed with the Lead Teacher. Exit interview was conducted. A Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



In the areas that were evaluated, no deficiencies were cited during today's inspection.
SUPERVISOR'S NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Jennie TedlosTELEPHONE: (916) 936-7763
LICENSING EVALUATOR SIGNATURE:
DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/02/2024
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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