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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045405999
Report Date: 11/30/2023
Date Signed: 11/30/2023 03:46:55 PM

Document Has Been Signed on 11/30/2023 03:46 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:DAVIS, ANGELA FAMILY CHILD CARE HOMEFACILITY NUMBER:
045405999
ADMINISTRATOR:DAVIS, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 533-6934
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
11/30/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Angela Davis, LicenseeTIME COMPLETED:
03:55 PM
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On 11/30/23 @ 2:40pm Licensing Program Analyst (LPA) E. Laird conducted an unannounced Case Management inspection. This inspection was conducted in response to an incident which was reported from an outside agency.

LPA E. Laird met with licensee Angela Davis, conducted one staff interview, one child interview, and obtained facility roster.

Based on information obtained, further interviews are required. There were no deficiencies cited during today's inspection.

A Notice of Site visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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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