Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573620827
Report Date: 04/28/2016
Date Signed 04/28/2016 02:18:56 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:LITTLE PIONEERS DAY CARE CENTERFACILITY NUMBER:
573620827
ADMINISTRATOR:LESTER, SHERIFACILITY TYPE:
830
ADDRESS:205 RUSSELL STREETTELEPHONE:
(530) 795-2633
CITY:WINTERSSTATE: CAZIP CODE:
95694
CAPACITY:12CENSUS: 7DATE:
04/28/2016
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Fawn Montagna and Sheri LesterTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Joseph Bweupe conducted case management visit to f ollow up on an UIR. LPA met facility director Fawn Montagna and explained the reason for the visit. Also present during the visit was Sheri Lester (Administrator or chairman of Day-Care Board).

LPA toured facility inside and outside. Facility had a total of 7 infant children with a total of 3 staff members. During the interview, LPA interviewed director, administrator and 3 staff members. LPA also reviewed staff files.


No deficiencies were cited during the visit. LPA provided notice of site visit.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Joseph BweupeTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2016
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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