<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
125401062
Report Date:
09/13/2024
Date Signed:
09/13/2024 10:04:55 AM
Document Has Been Signed on
09/13/2024 10:04 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:
HEAD START - FORTUNA
FACILITY NUMBER:
125401062
ADMINISTRATOR/
DIRECTOR:
SMITH, BECKY
FACILITY TYPE:
850
ADDRESS:
2085 NEWBURG ROAD
TELEPHONE:
(707) 725-6532
CITY:
FORTUNA
STATE:
CA
ZIP CODE:
95540
CAPACITY:
60
TOTAL ENROLLED CHILDREN:
60
CENSUS:
DATE:
09/13/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:
Rebecca Swanson
TIME VISIT/
INSPECTION COMPLETED:
10:15 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
LPA Noah Wheler made a case management visit to the facility to amend an annual report and deficiency sited that was made in error on 08/16/2024.
SUPERVISORS NAME
:
Erin Virrueta
LICENSING EVALUATOR NAME
:
Noah Wheeler
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/13/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/13/2024
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