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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 581376456
Report Date: 09/20/2019
Date Signed: 09/20/2019 11:31:50 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:YUBA COLLEGE CHILD CARE CENTERFACILITY NUMBER:
581376456
ADMINISTRATOR:STANIS, KARENFACILITY TYPE:
850
ADDRESS:2088 NORTH BEALE ROADTELEPHONE:
(530) 741-6966
CITY:MARYSVILLESTATE: CAZIP CODE:
95901
CAPACITY:55CENSUS: 27DATE:
09/20/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Renee McKenzieTIME COMPLETED:
11:40 AM
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Licensing Program Analysts (LPA) Grisak and Martinez conducted an unannounced visit and met with Renee McKenzie. It was stated in multiple staff interviews on 6/19/19 that during an active play activity on 6/13/19 two staff (S1 and S2) were swinging children by their arms which resulted in children being lifted from the ground off their feet. This report was reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.There were no Title 22 deficiencies cited during today's inspection.

Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019
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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