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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045402687
Report Date: 08/09/2023
Date Signed: 08/09/2023 08:18:22 AM

Document Has Been Signed on 08/09/2023 08:18 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:HAGGARD, JESSICA FAMILY CHILD CARE HOMEFACILITY NUMBER:
045402687
ADMINISTRATOR:HAGGARD, JESSICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 343-3038
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
08/09/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:06 AM
MET WITH:Jessica HaggardTIME COMPLETED:
08:28 AM
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On 8/9/23 at 8:06am am a Case Management inspection was made to the facility by Licensing Program Analyst (LPA), Mendez and LPA Wheeler and met with licensee Jessica Haggard. The inspection is made in response to the licensee having a above ground pool spa that is is 2ft deep and has a locked hard top cover.

Licensee has door alarms and locks and cameras installed inside the home and outside.

No deficiencies were cited during today's visit.

All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2023
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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