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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407679
Report Date: 08/10/2023
Date Signed: 08/10/2023 02:18:21 PM

Document Has Been Signed on 08/10/2023 02:18 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:TUCKER, WIND FAMILY CHILD CARE HOMEFACILITY NUMBER:
045407679
ADMINISTRATOR:TUCKER, WINDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 249-6368
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/10/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Wind TuckerTIME COMPLETED:
02:15 PM
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On August 10, 2023 at 1:45am, an annual inspection was attempted to the facility by Licensing Program Analyst (LPAs), Snow and Wheeler. The LPA met with Wind Tucker and she chose to go inactive. No children in car e.

The licensee agreed to send in the annual fee and paperwork to go inactive.
No violations were issued during the inspection.


A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2023
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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