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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125407587
Report Date: 02/15/2024
Date Signed: 02/15/2024 10:30:27 AM

Document Has Been Signed on 02/15/2024 10:30 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:LIL FISHER LEARNING CENTERFACILITY NUMBER:
125407587
ADMINISTRATOR:OWENS, CHANDELLEFACILITY TYPE:
830
ADDRESS:1547 A PICKETT ROADTELEPHONE:
(707) 839-3474
CITY:MCKINLEYVILLESTATE: CAZIP CODE:
95519
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
02/15/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Chandelle OwensTIME COMPLETED:
11:00 AM
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LPAs K. Lynch and N. Wheeler visited the facility for the purpose of a case-management visit in response to an inquiry for lead reporting requirements. LPAs verified the lead testing was conducted by a grant contracted company on 09/01/22 per Licensee's lead report documentation, and required LIC 9275 and 9276 forms were submitted by the Licensee and completed by the tester to upload to the Water Board Database. Licensee contacted the water tester via phone during the visit to follow up on documentation being uploaded to Water Board Database. No citations issued during today's visit. Exit interview conducted with Licensee, appeal rights provided, notice of site visit provided.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2024
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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