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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125408159
Report Date: 10/03/2022
Date Signed: 10/03/2022 03:00:38 PM

Document Has Been Signed on 10/03/2022 03:00 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:TOWNE, JORDAN MARIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
125408159
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
10/03/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Jordan TowneTIME COMPLETED:
03:15 PM
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A Case Management - Licensee Initiated inspection was conducted at the facility by Licensing Program Analyst (LPA) Kiriko Lynch in response to a capacity increase Family Child Care Home (FCCH) application received by the Department. During today's visit, the facility was operating within the licensed capacity and ratio requirements. The facility was toured and inspected. No deficiencies were observed. Fire clearance was granted by the local fire authority and received by Licensing on 09/26/2022.

License for the Large FCCH is approved today, 10/03/2022.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2022
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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