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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
085408260
Report Date:
04/03/2024
Date Signed:
04/03/2024 02:23:46 PM
Document Has Been Signed on
04/03/2024 02:23 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:
GLENN, RHONDA AND TERRY FAMILY CHILD CARE HOME
FACILITY NUMBER:
085408260
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:
GLENN, RHONDA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(530) 736-0711
CITY:
CRESCENT CITY
STATE:
CA
ZIP CODE:
95531
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
10
CENSUS:
7
DATE:
04/03/2024
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:
Rhonda Glenn
TIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analysts (LPA) K. Lynch and N. Wheeler visited the home for the purpose of amending a report from 03/14/24. No Title 22 deficiencies cited during today's visit.
SUPERVISORS NAME
:
Erin Virrueta
LICENSING EVALUATOR NAME
:
Kiriko Lynch
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/03/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/03/2024
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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