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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585407898
Report Date: 05/16/2023
Date Signed: 05/16/2023 03:27:42 PM

Document Has Been Signed on 05/16/2023 03:27 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:PACKARD, NATASHA FAMILY CHILD CARE HOMEFACILITY NUMBER:
585407898
ADMINISTRATOR:PACKARD, NATASHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(971) 235-3601
CITY:MARYSVILLESTATE: CAZIP CODE:
95901
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
05/16/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Natasha PackardTIME COMPLETED:
03:30 PM
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On April 16, 2023 at 230pm an inspection was made to the facility in response to an application to increase capacity & add a room. The licensee was watching 5 children (one of them an infant) within the required ratio and capacity. The licensee has not hired the assistant yet; we went over the requirements.

Natasha Packard's First aid/cpr expires January 2024. The fire clearance was approved on 4/23/23. I inspected a previously off limits bedroom she plans to use in the future; she is aware that she has to secure the TV & send an updated floor plan prior to using the new room.

The facility’s operating hours are 7a-5p, Monday–Friday. The floor plan submitted by the licensee was reviewed and verified. The off-limits areas of the home are the master bedroom and were made inaccessible by locks.
The children use the back as the outdoor play area and it is fully fenced. There were no pools or other bodies of water observed in the yard.

There are currently 2 adults living in the home. The Licensed is licensed for 14.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
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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