<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045408198
Report Date: 06/15/2023
Date Signed: 06/15/2023 09:17:52 AM

Document Has Been Signed on 06/15/2023 09:17 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:BOYNE, KIERSTI FAMILY CHILD CARE HOMEFACILITY NUMBER:
045408198
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
06/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Kiersti BoyneTIME COMPLETED:
09:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Pearl DiGenova conducted a case management facility inspection on 6/15/23 at 8:40am. This inspection was in response to an application for increased capacity that was received by the Department. The licensee has requested a capacity increase to 14 children.

The LPA toured the facility's indoor and outdoor areas. The off-limits areas of the home are the laundry room and the bedrooms and are made inaccessible by door knob covers. The LPA reviewed the ratios for a large license and the licensee acknowledged she understood the ratio requirements.



Licensee's CPR/First Aid is current. The fire authority granted clearance for 14 children on 6/14/23.The capacity increase request is granted.
This report was reviewed with the licensee.

Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Pearl DiGenova
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1