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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125401822
Report Date: 08/30/2022
Date Signed: 08/30/2022 01:34:01 PM

Document Has Been Signed on 08/30/2022 01:34 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:HEAD START - RIO DELLFACILITY NUMBER:
125401822
ADMINISTRATOR:AMMONS, KIMFACILITY TYPE:
850
ADDRESS:95 CENTER STREETTELEPHONE:
(707) 764-3824
CITY:RIO DELLSTATE: CAZIP CODE:
95562
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/30/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Naomi FaulknerTIME COMPLETED:
02:00 PM
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A case management inspection was conducted by Licensing Program Analyst (LPA) Kiriko Lynch who met with Facility Representative Naomi Faulkner. The purpose for the case management inspection was to follow up on a request received by Licensing to add a classroom, classroom "B" to the license without increasing overall capacity. A fire clearance was conditionally granted on 08/23/2022 for the use of the additional classroom. During today's inspection, both classrooms "A" and "B" were toured and inspected by the LPA, and the additional classroom has adequate space for the eight children requested, and there is no capacity increase requested at this time for the overall facility capacity of 24 children. LPA observed the additional classroom has age appropriate toys and equipment. There are also sufficient fixtures, an additional four sinks and two toilets, to meet the overall capacity requirements. As of today 08/30/2022, pending conditional fire requirement completion by facility, the classroom "B" is added to the licensed facility space. Exit interview conducted, notice of site visit posted.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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