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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700950
Report Date: 10/14/2022
Date Signed: 10/17/2022 01:57:29 PM


Document Has Been Signed on 10/17/2022 01:57 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 10/17/2022 01:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

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
A non-compliance conference was conducted today via Microsoft Teams due to COVID-19 and precautionary measures. The purpose of this conference meeting was to address non-compliance at the facility. Present in the meeting were CCLD staff, including Regional Manager Alycia Berryman, Licensing Program Managers Maribeth Senty and Anthony Perez, and Licensing Program Analysts Sabrina Calzada, Cassie Yang, and Michael Hood. Facility representative in the meeting was Administrator Andrew Magee. The conference process was explained during this meeting.

Topics discussed during this meeting were:
· Face covering requirements at the facility
· Maintaining compliant correspondence with CCLD staff
· Ensuring Administrator certificate requirements are met

The facility is doing the following to achieve continued and substantial compliance:
· Facility will practice continued compliance

An exit interview was conducted and a copy of this report will be provided to the facility via email. A copy will be signed and returned to CCLD.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Michael HoodTELEPHONE: (916) 531-7341
LICENSING EVALUATOR SIGNATURE:
DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/14/2022
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