<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585408464
Report Date: 08/08/2024
Date Signed: 08/13/2024 05:54:33 AM

Document Has Been Signed on 08/13/2024 05:54 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:LOMA RICA PRESCHOOLFACILITY NUMBER:
585408464
ADMINISTRATOR/
DIRECTOR:		CRITCHFIELD, JOLIEFACILITY TYPE:
860
ADDRESS:5150 FRUITLAND RDTELEPHONE:
(530) 749-6162
CITY:MARYSVILLESTATE: CAZIP CODE:
95901
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/08/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Jolie CritchfieldTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst met with Jolie Critchfield to conduct an office visit at 520 Cohaset Rd Suite 170 at the Regional Office in Chico CA to go over the application for 24 preschool children.
The following items need to be submitted/corrected & an approved prior to scheduling a prelicensing inspection:
B3. Job Descriptions - Please write an addendum page to attach to the job descriptions. Label addendum to job descriptions & say that the Site Supervisor/Teacher & Assistants are also reacquired to provide the following as a condition of employment:
Employee Rights (LIC 9052)
A health screening as specified in Section 101216(g).
Tuberculosis test documents as specified in Section 101216(g).
Criminal record clearance or a criminal record exemption (DOJ, CACI, FBI).
Driver's license number if the employee is to transport children.
Child Abuse Mandated Reporter training for Child Care
Employee Rights (LIC 9052)
Proof of immunization's for MMR, Tdap and Flu
Directors/Site Supervisors should have above documents in addition the following:
Child Care Center Orientation Record Keeping
Preventive health Practices
Current CPR & First Aid .......continued on next page
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: LOMA RICA PRESCHOOL
FACILITY NUMBER: 585408464
VISIT DATE: 08/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
B6. Updated parent handbook
B9 Updated Sample Menu

For Director Rebecca:
1. Letter from Superintendent naming her as the Site Supervisor/Director in charge of the day to day operations at the facility (or a similar statement)
2. Preventive Health Practices Training (with EMSA approved with lead & nutrition)
3. Proof of Tdap (or Dtap) immunization

For Authorized Representative Jolie:
1. Proof of MMR (measles) immunization

*Bathroom waiver in process

Please provide the preceding documents.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2