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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
515406193
Report Date:
01/22/2025
Date Signed:
01/22/2025 05:22:43 PM
Document Has Been Signed on
01/22/2025 05:22 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 CC RO
,
520 COHASSET RD., SUITE 170
CHICO
,
CA
95926
FACILITY NAME:
E CENTER HS PGMS - MAHAL PLAZA
FACILITY NUMBER:
515406193
ADMINISTRATOR/
DIRECTOR:
ROBINSON, PEGGY
FACILITY TYPE:
850
ADDRESS:
1719 FRANKLIN ROAD
TELEPHONE:
(530) 822-5103
CITY:
YUBA CITY
STATE:
CA
ZIP CODE:
95993
CAPACITY:
45
TOTAL ENROLLED CHILDREN:
45
CENSUS:
0
DATE:
01/22/2025
TYPE OF VISIT:
Office
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:
Karen Fukushima
TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 1/22/25 at 10am the Licensing Program Analyst (LPA) met with Karen Fukushima to review the application to change capacity.
The following is still needed:
1. LIC200a - send a separate form for each application/license:
515406193 E CENTER HS PGMS - MAHAL PLAZA- change of capacity preschool
515406616 E CENTER HS PGMS - MAHAL PLAZA- change of capacity infant/toddler
2. The fire clearance approval is needed (ordered on 1/6/2025 & reordered with room #s 1/22/25).
3. Associate Peggy Robinson & Jodie Keller to the following facility:
515406616 E CENTER HS PGMS - MAHAL PLAZA
4. A facility inspection to be conducted unannounced.
5. Board approval to apply for the changes
No violations during todays visit.
SUPERVISORS NAME
:
Mai Lor
LICENSING EVALUATOR NAME
:
Jaime Snow
LICENSING EVALUATOR SIGNATURE
:
DATE:
01/22/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/22/2025
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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