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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407682
Report Date: 11/01/2024
Date Signed: 11/01/2024 09:25:10 AM

Document Has Been Signed on 11/01/2024 09:25 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CHARRETTE, ANNA FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407682
ADMINISTRATOR/
DIRECTOR:		CHARRETTE, ANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 515-3006
CITY:SHASTA LAKESTATE: CAZIP CODE:
96019
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 8DATE:
11/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Anna Charrette, LicenseeTIME VISIT/
INSPECTION COMPLETED:
09:50 AM
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A Addendum to Notification of Parents' Rights Regarding Removal/Exclusion dated 10/21/24 was received by this Department.

During today's inspection, licensee Anna Charrette stated the former staff (S1) has not worked at the facility since October 2022. Two staff (S2-S3) stated S1 is not working at the facility and has not for several years.

Based on evidence obtained as stated above and during today's visit, this LPA has verified the individual is not present or employed or residing at the facility. LPA has advised the licensee to disassociate the individual from their roster.

LPA found no evidence of this individual's presence at this facility, thus LPA has determined the individual has been removed. Verification of removal is complete.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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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