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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475407549
Report Date: 03/23/2023
Date Signed: 03/24/2023 02:56:58 PM

Document Has Been Signed on 03/24/2023 02:56 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:BAEZ, ANNA FAMILY CHILD CARE HOMEFACILITY NUMBER:
475407549
ADMINISTRATOR:BAEZ, ANNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 643-2823
CITY:YREKASTATE: CAZIP CODE:
96097
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
03/23/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Anna Baez, LicenseeTIME COMPLETED:
11:55 AM
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Licensing Program Analyst (LPA), N. Cunningham conducted a case management facility inspection on 3/23/23 at 10:30 AM. This inspection was in response to an application for increased capacity that was received by the Department on 2/6/23. The licensee has requested a capacity increase to 14 children.

The home was toured at 11:00 AM. The off-limits area are one bedroom, office and laundry room and made inaccessible by a child gate. The children use the front yard as the outdoor play area which is fully fenced. The back yard is off limits. There were no pools or other bodies of water observed in or around the home. The licensee and assistant were supervising two infants and four preschool children at the time of the visit and operating within the ratio requirements.



Licensee's CPR/First Aid expires on 3/2025. The LPA reviewed the ratio's for a large license and the licensee acknowledged she understood the ratio requirements. The LPA also reviewed the Safe Sleep requirements with provider.

Capacity increase is approved. Exit interview conducted and report was reviewed with Licensee Baez. There were no deficiencies cited during today’s inspection. Appeal rights were provided.

Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023
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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