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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585401281
Report Date: 09/16/2020
Date Signed: 09/16/2020 04:14:24 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:KIDS COUNTRY CARELANDFACILITY NUMBER:
585401281
ADMINISTRATOR:WEBB, LENAFACILITY TYPE:
840
ADDRESS:900 OLIVE STREETTELEPHONE:
(530) 633-9369
CITY:WHEATLANDSTATE: CAZIP CODE:
95692
CAPACITY:26CENSUS: 20DATE:
09/16/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Lena WebbTIME COMPLETED:
03:35 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. A case management inspection was conducted to the facility by Licensing Program Analyst (LPA) Sandy Husband.in response to a decrease in capacity application received by the Department on 9/15/20. The licensee is requesting a decrease in the school age licensed capacity from 26 to 24. This is a combination center with a separate preschool license. The license is decreasing capacity by adding a new room, Room #4 which measures for 23 school age children and Room #3 is being repurposed for the Preschool License. Room #4 is the only room that will be used for school age care. The outdoor play yard was also decreased due to repurposing a portion of the yard to acquire Classroom #4. The new measurements for the outdoor play yard measured for 118 children. The school age children will use the play yard at separate times from the preschool children. During today's visit, the facility was operating within the licensed capacity and ratio requirements. The facility was toured and inspected. No deficiencies were observed. The decrease in capacity to 23 school age children is granted.

This report was reviewed and discussed with the director. 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: 09/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2020
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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