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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045408438
Report Date: 12/04/2024
Date Signed: 12/04/2024 11:53:43 AM

Document Has Been Signed on 12/04/2024 11:53 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:STORYBOOK SCHOOLHOUSEFACILITY NUMBER:
045408438
ADMINISTRATOR/
DIRECTOR:		MILLER, HEATHERFACILITY TYPE:
860
ADDRESS:794 E 3RD AVETELEPHONE:
(530) 895-8793
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: 138TOTAL ENROLLED CHILDREN: 138CENSUS: 0DATE:
12/04/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Thamalka MudannayakeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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The applicant, Thamalka Mudannayake, came to the office to discuss the application for a change of ownership. Due to the change in fire coses the applicant plans to add toddlers. The LPA will provide a new list of required documents. The applicant has been advised to submit the updated LIC200a applicaiton & updated maps as soon as possible.




SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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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