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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407905
Report Date: 12/28/2022
Date Signed: 12/28/2022 10:33:56 AM

Document Has Been Signed on 12/28/2022 10:33 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:INTHARASOMBUT, NATECHONNANEE FAMILY CHILD CAREFACILITY NUMBER:
455407905
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 12CENSUS: 5DATE:
12/28/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Natechonnanee Intharasombut, LicenseeTIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA), Erica Laird conducted a case management facility inspection on 12/28/22 at 9:50 AM. This inspection was in response to an application for increased capacity that was received by the Department. The licensee has requested a capacity increase to 14 children.

The home was toured at 10:15am. The off-limits area are the kitchen, back laundry room, two back bedrooms, and the garage. There were no pools or other bodies of water observed in or around the center. The licensee was supervising 5 children at the time of the visit and operating within the ratio requirements.



Licensee's CPR/First Aid was completed and expires on 9/2024. Based on the space/accommodations available at this facility and the fire marshal granting their approval on 12/20/22 for the 14 children, the capacity increase request is granted. The LPA reviewed the ratio's for a large license and the licensee acknowledged she understood the ratio requirements. The LPA also reviewed the Safe Sleep requirements with provider although the provider does not currently have infants enrolled and the provider has an assistant. LPA will process this capacity increase and mail an updated license to reflect this capacity change to 14 children.

An exit interview was conducted with licensee Natechonnanee Intharasombut.

Notice of Site Visit was given to licensee to post for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/28/2022
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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