<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 535407760
Report Date: 02/23/2024
Date Signed: 02/23/2024 11:58:45 AM

Document Has Been Signed on 02/23/2024 11:58 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:KINDER KIDS MONTESSORI INCFACILITY NUMBER:
535407760
ADMINISTRATOR:EDWARDS, JOLENEFACILITY TYPE:
850
ADDRESS:31341 STATE HIGHWAY 3TELEPHONE:
(530) 739-1161
CITY:WEAVERVILLESTATE: CAZIP CODE:
96093
CAPACITY: 30TOTAL ENROLLED CHILDREN: 15CENSUS: 0DATE:
02/23/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jolene EdwardsTIME 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
LPAs N. Wheeler and K. Lynch visited the facility for the purpose of a case-management visit in response to an inquiry for lead reporting requirements. LPAs verified the lead testing was conducted by a grant contracted company on 05/06/23 and 07/15/23 per Licensee's lead report documentation, and required LIC 9275 and 9276 forms were submitted by the Licensee and completed by the tester to upload to the Water Board Database. No citations issued during today's visit. Exit interview conducted with Licensee, appeal rights provided, notice of site visit provided.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Noah Wheeler
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2024
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