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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
045407916
Report Date:
12/21/2023
Date Signed:
12/21/2023 12:45:51 PM
Document Has Been Signed on
12/21/2023 12:45 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
CHICO-DAY CARE
,
520 COHASSET RD., SUITE 170
CHICO
,
CA
95926
FACILITY NAME:
QUESADA, NICOLE FAMILY CHILD CARE HOME
FACILITY NUMBER:
045407916
ADMINISTRATOR:
QUESADA, NICOLE
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(530) 332-0416
CITY:
OROVILLE
STATE:
CA
ZIP CODE:
95966
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
8
DATE:
12/21/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
12:18 PM
MET WITH:
Nicole Quesada, Licensee
TIME COMPLETED:
01:00 PM
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On 12/21/23 @ 12:18pm Licensing Program Analyst (LPA) E. Laird conducted an unannounced case management inspection. LPA Laird met with licensee Nicole Quesada and requested copies of the updated children records. Licensee provided corrected forms for all children in care.
There were no deficiencies were cited during today's visit.
A Notice of Site Visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME
:
Megan Aviles
LICENSING EVALUATOR NAME
:
Erica Laird
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/21/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/21/2023
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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