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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
451375074
Report Date:
03/22/2023
Date Signed:
03/24/2023 02:57:46 PM
Document Has Been Signed on
03/24/2023 02:57 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:
DUNCAN, SHERRIE FAMILY DAY CARE
FACILITY NUMBER:
451375074
ADMINISTRATOR:
DUNCAN, SHERRIE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(530) 275-1935
CITY:
SHASTA LAKE CITY
STATE:
CA
ZIP CODE:
96019
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
8
DATE:
03/22/2023
TYPE OF VISIT:
POC
UNANNOUNCED
TIME BEGAN:
03:35 PM
MET WITH:
Sherrie Duncan, Licensee
TIME COMPLETED:
04:30 PM
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A plan of correction inspection was conducted today on 3/22/23 at 3:35pm by Licensing Program Analyst (LPA) N. Cunningham. Today's visit was conducted to verify the plan of correction for two Type A citations that were issued on 3/16/23. The previous citations were issued for infant sleeping in an unsafe environment and no infant sleep checks were logged.
During today's visit LPA Cunningham toured facility and observed the licensee holding one infant and one infant in a high chair. LPA also observed three completed infant sleep logs.
Exit interview conducted and report was reviewed with the licensee. There were no Title 22 deficiencies cited during today's inspection. Appeal rights were provided.
Notice of Site Visit shall be posted for 30 days from today's visit
SUPERVISORS NAME
:
Erin Virrueta
LICENSING EVALUATOR NAME
:
Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE
:
DATE:
03/22/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/22/2023
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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