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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475408056
Report Date: 04/21/2022
Date Signed: 04/22/2022 08:04:56 AM

Document Has Been Signed on 04/22/2022 08:04 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:LANE STREET CHILDREN'S CENTER SCHOOL-AGEFACILITY NUMBER:
475408056
ADMINISTRATOR:MEREL, RONYAFACILITY TYPE:
840
ADDRESS:631 LANE STREETTELEPHONE:
(530) 842-5366
CITY:YREKASTATE: CAZIP CODE:
96097
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
04/21/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Royna Merel, ApplicantTIME COMPLETED:
02:30 PM
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A prelicensing inspection was conducted today at 11:00am by Licensing Program Analyst (LPA), N. Cunningham. LPA met with applicant Merel. The applicant/licensee is requesting a license for 20 school age children. The facility will operate Monday-Friday, 7:30-8:15am and 1:30am to 5:30pm. The facility has one classrooms and 1 bathroom for children and 1 bathroom for staff.

The indoor and outdoor activity spaces were toured, and the facility sketch was verified. The following areas will be off limits to children: entire upstairs, kitchen, and pantry. These areas have been made inaccessible by means of child gates. There is a kitchen to store/prepare meals.

The outdoor play area is fully fenced. There are several plastic play structures for children to play on and adequate cushioning underneath. There is no pool, spa, pond, fountain, or any other body of water on the premises. There is a seasonal creek that boarders the property. A five foot fence prevents access to the creek. The poisons are locked in a locked cabinet with a key lock. The stairs are barricaded with child gate. There is safe and age appropriate furniture, toys, and play equipment available for children.

A capacity worksheet was completed during the visit. There is enough indoor space for 20 children and outdoor space for 20 children. There are 3 toilets and 3 sinks available for children.

LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: LANE STREET CHILDREN'S CENTER SCHOOL-AGE
FACILITY NUMBER: 475408056
VISIT DATE: 04/21/2022
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Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant/licensee/facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant/licensee/facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The change of location licensure is approved and the license is effective, April 22, 2022. Exit interview conducted and report was reviewed with the applicant.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2022
LIC809 (FAS) - (06/04)
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