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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455001728
Report Date: 05/04/2022
Date Signed: 05/06/2022 11:43:19 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/06/2022 11:43 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., STE. 170
CHICO, CA 95926
FACILITY NAME:I.P.S DAY PROGRAMFACILITY NUMBER:
455001728
ADMINISTRATOR:BAUGHMAN, KELLYFACILITY TYPE:
775
ADDRESS:2170 MARKET STREETTELEPHONE:
(530) 244-2352
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY: 6CENSUS: 0DATE:
05/04/2022
TYPE OF VISIT:Required - 1 YearANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Amanda GomezTIME COMPLETED:
01:00 PM
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An unannounced required visit was conducted by Misty Valencia Licensing Program Analyst (LPA) . During the visit, LPA met with Amanda Gomez, Administrator who reported that they are still understaffed due to covid and not yet ready to reopen the day program.

Gomez reports that she will keep LPA Valencia updated of any and all changes.


No deficiencies were cited during today's visit
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Misty Valencia
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2022
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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