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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525407027
Report Date: 03/13/2023
Date Signed: 10/03/2023 09:33:43 AM

Document Has Been Signed on 10/03/2023 09:33 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:LITTLE HOPPERS EHSFACILITY NUMBER:
525407027
ADMINISTRATOR:DEB MEENTSFACILITY TYPE:
850
ADDRESS:617 FIG LANETELEPHONE:
(530) 838-1034
CITY:CORNINGSTATE: CAZIP CODE:
96021
CAPACITY: 10TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
03/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:11 AM
MET WITH:Deb MeentsTIME COMPLETED:
10:16 AM
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On 3/13/23 at 8:11am, an annual inspection was made to the facility by Licensing Program Analyst (LPA), Mendez. (This program is operated by (public agency/Head Start) and a Title 5 funded program.) Hours of operatgion are 7:30am-4:30pm, Monday–Friday. The facility was toured at 9:41am inside and outside and the floor and yard plan submitted by the licensee were verified. The facility representative and staff were supervising 7 children, and operating within the licensed capacity and ratio requirements. There are no pools or bodies of water on the premises. The outdoor activity space was cushioned with wood chips and grass and free of hazards.

Facility representative was reminded that all adults 18 and over, 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.

Continued on 9099C

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2023
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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