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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407900
Report Date: 06/08/2022
Date Signed: 06/08/2022 09:59:23 AM

Document Has Been Signed on 06/08/2022 09:59 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CHICO CHILD DEVELOPMENT CENTER- SCHOOL AGEFACILITY NUMBER:
045407900
ADMINISTRATOR:CAPERELLO, SHELLYFACILITY TYPE:
840
ADDRESS:850 PALMETTO AVETELEPHONE:
(530) 894-1778
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
06/08/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Shelly CaperelloTIME COMPLETED:
09:45 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
Licensing Program Analyst Wisehart and staff Thomas Key, met with Licensee Shelly Caperello on 6/8/22 at 8:20 am to conduct an annual required inspection. The LPA toured the inside and outside of the facility at 8:30 am. The licensee indicated that she had not had any school age children present since March 2021. The licensee indicated she had kept the license because she sometimes will have a grandchild present. The license indicated during the visit she wanted to give up this license and on the days she has her school age grandson she will take him to her other licensed school age center. Therefore, the LPA discontinued the annual visit. The licensee presented the LPA with the license and signed it with today's date for closure.

The LPA reviewed and printed Outdoor Activity Space Reg 101238.2 with licensee.

No deficiencies were cited during today's visit.

A Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Carrie Wisehart
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2022
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