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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045406970
Report Date: 08/12/2022
Date Signed: 08/12/2022 03:45:16 PM

Document Has Been Signed on 08/12/2022 03:45 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:PINE RIDGE CHILDREN'S CENTERFACILITY NUMBER:
045406970
ADMINISTRATOR:COLLEEN DUGANFACILITY TYPE:
850
ADDRESS:13878 COMPTON DRTELEPHONE:
(530) 532-5643
CITY:MAGALIASTATE: CAZIP CODE:
95954
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 0DATE:
08/12/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Heather MendoncaTIME COMPLETED:
04:15 PM
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On 8/12/22 at 3PM an announced case management visit made to the facility by Licensing Program Analyst (LPA), Snow to change rooms(from #1 to #29) with the same licensed capacity of 22. The LPA met with Heather Mendonca. This program is operated by (public agency) and a Title 5 funded program. The operating hours are 8-11AM & 12-3 PM Monday–Friday following the school vacation schedule. The facility was toured at 3:30PM inside and outside and the floor and yard plan submitted by the licensee were verified. Todays visit was to (remove room#1 and) approve room # 29 which measured for the requested capacity. The play yard remains the same. The bathrooms are located in a building outside the classroom and have the required number of toilets and sinks and children will be escorted.

There were no children in care during the inspection and the bathrooms will be located just outside the classroom. Children are escorted to the bathroom classrooms.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative.

Once a fire clearance is received for room #29 the license will be updated to reflect the change.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2022
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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