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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475406507
Report Date: 01/26/2023
Date Signed: 01/26/2023 03:35:20 PM

Document Has Been Signed on 01/26/2023 03:35 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:ANDERSON, KAYLA FAMILY CHILD CARE HOMEFACILITY NUMBER:
475406507
ADMINISTRATOR:ANDERSON, KAYLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 340-0895
CITY:YREKASTATE: CAZIP CODE:
96097
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
01/26/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Kayla Anderson, LicenseeTIME COMPLETED:
04:00 PM
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On 1/26/23 at 3:00 p.m., Licensing Program Analyst (LPA), N. Cunningham conducted a case management inspection to review facility files and complete the annual inspection that was started on October 6, 2022. The licensee and assistant were supervising thirteen children, and operating within the licensed capacity and ratio requirements. The facility’s operating hours are 7:30 a.m. – 5:30 p.m., Monday–Friday.

Six children's records were reviewed at 3:00pm. Two staff records were reviewed at 3:15pm.

Exit interview conducted and report was reviewed with the licensee.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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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