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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407905
Report Date: 02/06/2025
Date Signed: 02/06/2025 09:44:55 AM

Document Has Been Signed on 02/06/2025 09:44 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/
DIRECTOR:		INTHARASOMBUT, NATECHONNANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 355-9976
CITY:SHASTA LAKESTATE: CAZIP CODE:
96019
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
02/06/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:NATECHONNANEE (Natalie)TIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analysts (LPA) N. Cunningham made an unannounced inspection as a follow for two deficiencies that were cited on 01/22/25; where the Licensee was cited a Type B deficiency for failing to ensure children had access to a restroom and a swing set not anchored down. During today’s inspection, LPA observed the bathroom unlocked which allowed children to easily access the restroom and the two swing sets removed from the play area. LPA also observed one swing that was not anchored down in the front yard that children had access to while walking to/from the front door. During today's inspection, the licensee and assistant moved the swing set to the side yard. The licensee stated she will remove the swing set or anchor it down.

This report was discussed and reviewed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's inspection.

There were no Title 22 deficiencies cited during today's inspection. Appeal rights were provided.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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