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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515408075
Report Date: 09/21/2022
Date Signed: 09/21/2022 01:25:53 PM

Document Has Been Signed on 09/21/2022 01:25 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-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:RAYA, RACHEL FAMILY CHILD CARE HOMEFACILITY NUMBER:
515408075
ADMINISTRATOR:RAYA, RACHELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 923-9224
CITY:YUBA CITYSTATE: CAZIP CODE:
95991
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
09/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Rachel RayaTIME COMPLETED:
01:30 PM
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Regional Manager (RM) J. Monath and Licensing Program Analyst (LPA) J. Helton made an unannounced visit on 9/21/22 for the purpose of serving a Temporary Suspension Order (TSO). The RM explained the nature and purpose of the visit. The TSO action is being taken due to the licensee inflicting physical harm on a child in care on 9/13/22. Rachel Raya accepted the accusation at 1:25 PM.

The following documents were provided to the licensee:

1. Temporary Suspension Order (TSO)

2. Statement to Respondent

3. Government Code Sections

4. Summary Instructions for Licensee

5. Summary of Charges

6. Accusation

7. Request for Discovery

8. Notice of Defense (2)

While the order is in effect, the licensee is prohibited from operating the child day care facility. There were (#) of children in care during today’s visit. The written notice of the TSO was taped on the outside of the front door and must remain as long as the order is in effect. Licensee was informed that removal of this notice constitutes a violation of the law, a misdemeanor fine of up to $500.00. The licensee shall post and provide copies of this licensing report to all parents/guardians and must give a copy of the Summary of Charges to the parent or legal guardian of each child receiving services in the facility until the Accusation is either dismissed, or resolved through the administrative process or Stipulated agreement. Each parent/guardian receiving a copy of the Summary of Charges shall sign and date form LIC9224, Acknowledgement of Receipt of Licensing Reports.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jackie Helton
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022
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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