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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125406793
Report Date: 01/09/2025
Date Signed: 01/09/2025 01:48:44 PM

Document Has Been Signed on 01/09/2025 01:48 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:BOUTRIS, DIANE FAMILY CHILD CARE HOMEFACILITY NUMBER:
125406793
ADMINISTRATOR/
DIRECTOR:		BOUTRIS, DIANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 599-5683
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/09/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Diane BoutrisTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 01/09/2024, LPAs Noah Wheeler and Kiriko Lynch made a visit to the home and the Licensee stated she would like to go on inactive status until she reopens her FCCH. LPA Wheeler gave Licensee an LIC 9211 to complete during the visit. LPA Wheeler also gave technical assistance to Licensee with her questions regarding child care services. No citations issued during today's visit.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Noah Wheeler
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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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