<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
515406616
Report Date:
01/22/2025
Date Signed:
01/22/2025 05:23:19 PM
Document Has Been Signed on
01/22/2025 05:23 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 CC RO
,
520 COHASSET RD., SUITE 170
CHICO
,
CA
95926
FACILITY NAME:
E CENTER HS PGMS - MAHAL PLAZA
FACILITY NUMBER:
515406616
ADMINISTRATOR/
DIRECTOR:
ROBINSON, PEGGY
FACILITY TYPE:
830
ADDRESS:
1719 FRANKLIN ROAD
TELEPHONE:
(530) 822-5103
CITY:
YUBA CITY
STATE:
CA
ZIP CODE:
95993
CAPACITY:
16
TOTAL ENROLLED CHILDREN:
16
CENSUS:
0
DATE:
01/22/2025
TYPE OF VISIT:
Office
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:
Karen Fukushima
TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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
On 1/22/25 at 10am the Licensing Program Analyst (LPA) met with Karen Fukushima to review the application to change capacity.
The following is still needed:
1. LIC200a - send a separate form for each application/license:
515406193 E CENTER HS PGMS - MAHAL PLAZA- change of capacity preschool
515406616 E CENTER HS PGMS - MAHAL PLAZA- change of capacity infant/toddler
2. The fire clearance approval is needed (ordered on 1/6/2025 & reordered with room #s 1/22/25).
3. Associate Peggy Robinson & Jodie Keller to the following facility:
515406616 E CENTER HS PGMS - MAHAL PLAZA
4. A facility inspection to be conducted unannounced.
5. Waiver request and approval for the infant/toddler shared yard.
a. letter request with a reason
b. a yard map
c. a yard schedule
d. includes written directive: The department may approve alternate use of outdoor play space to achieve separation from preschool children or infants as necessary to protect the safety of children in care.
e. age of play equipment -proof of manufacturer recommended ages
6. Board approval to apply for the changes
No violations during todays visit.
SUPERVISORS NAME
:
Mai Lor
LICENSING EVALUATOR NAME
:
Jaime Snow
LICENSING EVALUATOR SIGNATURE
:
DATE:
01/22/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/22/2025
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