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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125400495
Report Date: 06/22/2022
Date Signed: 06/29/2022 04:36:05 PM

Document Has Been Signed on 06/29/2022 04:36 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:TEACHER'S PET SCHOOLFACILITY NUMBER:
125400495
ADMINISTRATOR:VITALE, KATHLEEN A.FACILITY TYPE:
850
ADDRESS:2719 DOLBEER STREETTELEPHONE:
(707) 442-4877
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: DATE:
06/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kathleen (Kathy) VitaleTIME COMPLETED:
03:00 PM
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On 6/22/22 at 2 PM, an annual inspection was made to the facility by Licensing Program Analyst (LPA), Snow who met with the owner/director Kathy Vitale.

Due to a computer malfunction the inspection will have to be completed at a later date.

No violations were issued.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2022
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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