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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475408255
Report Date: 03/30/2023
Date Signed: 04/03/2023 09:10:36 AM

Document Has Been Signed on 04/03/2023 09:10 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-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:RALLS, AMY FAMILY CHILD CARE HOMEFACILITY NUMBER:
475408255
ADMINISTRATOR:RALLS, AMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 643-3904
CITY:YREKASTATE: CAZIP CODE:
96097
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
03/30/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Amy Ralls, ApplicantTIME COMPLETED:
04:00 PM
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A prelicensing inspection was conducted today at 9:00 am by Licensing Program Analyst (LPA), N. Cunningham. LPA met with applicant Amy Ralls. The applicant is requesting a license for a capacity of 14 children. The facility will operate Monday-Friday, 2:00pm - 6:00 pm and Monday - Friday 7:30am - 6:00pm during the summer. The residence is a 2 bedroom/ 1 bath one story home. There will be one adult and one minor living in the home.

The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: one bedroom, main bedroom and bathroom, covered deck, and the garage which have been made inaccessible with child locks. The home is equipped with a working smoke detector, fire extinguisher, and carbon monoxide detector. The applicant stated children will use the gated front and back yard as the outdoor play area which is fully fenced when the gates are closed. No bodies of water were observed on the property. A creek runs next to the east property line.

LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: RALLS, AMY FAMILY CHILD CARE HOME
FACILITY NUMBER: 475408255
VISIT DATE: 03/30/2023
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Applicant was reminded that all adults 18 and over living in the home, persons who provide 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 licensed Family Child Care Home. 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 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 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 following items need to be completed prior to the granting of license:
1. Proof of completion of preventative health and safety and mandated reporter training
2. Proof of control of property
3. Proof of completion of FCCH orientation
4. Install five foot gate in the back yard
5. Move washer and dryer into laundry room and clean classroom
6. Fingerprint clearance for applicant
7. Approved fire clearance
Exit interview conducted and report was reviewed with Applicant Ralls.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
LIC809 (FAS) - (06/04)
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