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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515407891
Report Date: 02/09/2024
Date Signed: 02/09/2024 12:15:03 PM

Document Has Been Signed on 02/09/2024 12:15 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:SHIELER, ELLISA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515407891
ADMINISTRATOR:SHIELER, ELLISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 551-3226
CITY:YUBA CITYSTATE: CAZIP CODE:
95991
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
02/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Ellisa Shieler, LicenseeTIME COMPLETED:
12:25 PM
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On 2/9/24 @ 12:00pm Licensing Program Analyst (LPA) E. Laird conducted an unannounced case management inspection. LPA E. Laird met with licensee Ellisa Shieler. A civil penalty LIC421M was issued in error on 2/1/24. LPA E. Laird delivered the correct civil penalty LIC 421BG for an uncleared adult (S1). LPA E. Laird obtained the incorrect LIC421M from licensee, Ellisa Shieler.

There were no deficiencies cited during today's inspection.

Exit interview conducted and report was reviewed with the licensee, Ellisa Shieler.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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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