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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
045408265
Report Date:
06/26/2023
Date Signed:
06/26/2023 11:54:17 AM
Document Has Been Signed on
06/26/2023 11:54 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:
KUMAR, MICHELE FAMILY CHILD CARE HOME
FACILITY NUMBER:
045408265
ADMINISTRATOR:
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP CODE:
CAPACITY:
8
TOTAL ENROLLED CHILDREN:
8
CENSUS:
2
DATE:
06/26/2023
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME BEGAN:
11:40 AM
MET WITH:
Michele Kumar, Licensee
TIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) E. Laird conducted a case management inspection on 6/26/2023 at the facility for an increase of capacity. The Department received an application for a capacity increase from 8 children to 14. Fire inspection was completed on 6/20/23 with approval for up to 14 children.
LPA determined the facility has sufficient room and amenities to accommodate the increase in capacity from 8 children to 14 and approves the increase.
There were no violations observed during this visit.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME
:
Megan Aviles
LICENSING EVALUATOR NAME
:
Erica Laird
LICENSING EVALUATOR SIGNATURE
:
DATE:
06/26/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/26/2023
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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