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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455403185
Report Date: 08/11/2022
Date Signed: 08/11/2022 10:42:35 AM

Document Has Been Signed on 08/11/2022 10:42 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:LIONS CUB PRESCHOOLFACILITY NUMBER:
455403185
ADMINISTRATOR:ANSTINE, SHELLEYFACILITY TYPE:
850
ADDRESS:10142 OLD OREGON TRAILTELEPHONE:
(530) 223-4070
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 0DATE:
08/11/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Shelley AnstineTIME COMPLETED:
11:15 AM
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On 8/11/22 at 9:30am an announced case management visit made to the facility by Licensing Program Analyst (LPA), Snow to change rooms with the same licensed capacity of 100. The LPA met with Shelley Anstine. This program is operated by (public agency) and a Title 5 funded program.) are 7:30 AM – 6PM, Monday–Friday. They follow the school holiday except for the 8 week summer program. The facility was toured at 10am inside and outside and the floor and yard plan submitted by the licensee were verified. Facility operates in room #s 17, 21, 22 & 23. Todays visit was to approve room # 22 and remove room #18.

There were no children in care and the bathrooms will all remain the same. Children are escorted to the bathroom outside the classrooms. The LPA measured and the facility.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee [or facility representative] (include name).

CCL has received an updated fire clearance and room # 22 is approved for care starting today, 8/11/22; the license will be updated to reflect the room #s.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2022
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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