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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407998
Report Date: 01/09/2025
Date Signed: 01/09/2025 02:42:03 PM

Document Has Been Signed on 01/09/2025 02:42 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:BRUMBAUGH, JULIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
045407998
ADMINISTRATOR/
DIRECTOR:		BRUMBAUGH, JULIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 363-7571
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
01/09/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Julie BrumbaughTIME VISIT/
INSPECTION COMPLETED:
02:43 PM
NARRATIVE
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On 1/9/25 at 2:30 pm, Regional Manager (RM) Jordan Monath and Licensing Program Analyst (LPA) Bianca Mendez made an unannounced visit for the purpose of serving a Temporary Suspension Order (TSO) to Julie Brumbaugh. The RM explained the nature and purpose of the visit. Julie Brumbaugh accepted the accusation at 2:34pm. There were 0 children in care during today’s visit.

The following documents were provided to the licensee:

1. Order for Temporary Suspension of License

2. Accusation and attachments

3. Notice to Respondent and/or Attorney of Record Regarding Statutes, Regulations, Written Directive, and Interim Licensing Standards

4. Confidential Name List

5. Statement to Respondent

6. Government Code Sections 11507.5, 11507.6 and 11507.7

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: BRUMBAUGH, JULIE FAMILY CHILD CARE HOME
FACILITY NUMBER: 045407998
VISIT DATE: 01/09/2025
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7. Instructions For Licensees About the Summary of Charges

8. Summary of Charges for Parent of Children in Care

9. Request for Discovery

10. Notice of Defense (2)

While the order is in effect, the licensee is prohibited from operating the child day care facility. 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: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
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