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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475407965
Report Date: 08/28/2023
Date Signed: 08/28/2023 03:18:27 PM

Document Has Been Signed on 08/28/2023 03:18 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:YOCHUM, SHARON FAMILY CHILD CARE HOMEFACILITY NUMBER:
475407965
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
08/28/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:56 PM
MET WITH:Sharon YochumTIME COMPLETED:
03:25 PM
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Licensing Program Analyst (LPA), S. Sims conducted a case management facility inspection on 08/28/23 at 2:56PM. This inspection was in response to an application for increased capacity add to add a co-licensee. The application was received by the Department on 7/31/23. The licensee and co-licensee have requested a capacity increase to 14 children.

LPA toured the facility's indoor and outdoor areas. The on limits areas of the home are the living room and bathroom one, all other rooms have been made inaccessible using child safe knobs, and baby gates. The children use the front yard as the outdoor play area, and it is fully fenced. There were no pools or other bodies of water observed in the yard. The LPAs reviewed the staff ratio for a large license and the licensee acknowledged she understood the ratio requirements. The LPAs also reviewed the Safe Sleep requirements with provider. Licensee's CPR/First Aid expires 04/15/2025 and the co-licensee’s CPR/First Aid expires 07/22/2025.

Local fire authority approved fire clearance on 08/11/23.

As of today’s date, 08/28/2023, the capacity increase request is granted. An exit interview was conducted with licensee.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2023
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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