HomeMy WebLinkAbout024-220-030 CF Archive (3)Butte County Fire Department
,{1r. CCalifornia Department of Forestry and Fire Protection
Fire Prevention Bureau
176 Nelson Avenue, Oroville, CA 95965
FIRE 530-538-7888/530-538-2105(fax)
Fire Safety Inspection
Business Address:
Business Name:
10.
Owner/Manager:
Bus:
Other:
Other Contact:
Bus:
Other:
Building Owner:
Bus:
Other:
Address:
Fire alarms stem defective
Occ. Class:
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
1.
Fire extinguishers: required, service due
10.
Exit(s): obstructed, inadequate
2.
Extension cords: Excessive use, defective
11.
Exit sign(s): required, illumination, photo luminescent
3.
Excessive rubbish, trash, debris
12.
Exit sign lights: obstructed, defective
4.
Fire alarms stem defective
13.
Exit lighting: required, defective
5.
Sprinkler system: service required, defective
14.
Heatingsystem: defective appliance, flue combustibles
6.
Kitchen hood ext. system: service due
15.
Wiring: exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Address posted and visible from road
8.
Smoke detectors: required, defective
17.
Other
9.
Fire drill log checked Yes ❑ No ❑
18.
Other type of inspection — State below
Date:
Discussed with:
Signed:
(Print)
Inspecting Officer:
Battalion 1 2 3 4 5 6 7
Station: FPB
By order of the Fire Chief: You are hereby notified to correct all violations immediately or show cause why you should not be
required to do so. A re -inspection will be conducted on Willful failure to comply with this notice is a
misdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal
offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H & S sec. 13112)
White Copy — Station File Yellow Copy — Re-inspect/business Pink Copy — Business ❑ Check when sent to prevention
Page 1 of 1
Damon, Matt
From: Ryan McIver [rmciver@ectr.org]
Sent: Monday, May 05, 2008 5:07 PM
To: Damon, Matt
Subject: a center cooking techniques
Matt,
E center does not use dee fat frying techniques or any similar method that would produce grease -laden
vapors in any of our facilities' kitchens to include the site at 1567 Booth Dr., Gridley, CA 95948. Thank
you very much for your atnti on to this matter. If there is anything else that you need from me, please
don't hesitate to let me kn6�v.
Sincerely,
Rf"
Administrative 9�''rvices Director
E Center
5/7/2008
06/0812008 13:01 FAX 630 896 6934
COMMUNITY CARE LICENSING
I
STATE OF CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
STD. 860 (REY, 10-94) See Instructions on reverse.
AGENCY CONTACT'S NAME TELIP14ONE NUMBER RCOUE-STDATE PROGRAM
CDSS/COMMUNITY CAME LICENSING ( 530 895-5033 5/6/08 CCL
EVALUATOIA'S NAME RP OLIESTING AGENCY FACILI1-YNUMaCN 14LUOULVSTCODL
0 10 1 /MARGIE WHITAKER 045405308 & 045405176 7A
LICENSING I DEPARTMENT OF SOCIAL SERVICES
AGENCY COMMUNTTY CARE LICENSING
NAME AND 520 COHASSET ROAD, SUITE 170
ADDRESS CHICO, CA 95926
L
10001/001
CODES
I 1, ORIGINAL A. FIRE CLEARANCE
2. RENEWAL S. LIFE SAFETY
3. CAPACITY CHANGE
A. OWNERSHIP CHANGE
S. ADDRESS CHANGE
G. NAME CHANCE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY I PRCVIOUSCAPACITY I CAPACITY I PREVIOLISCAPAC(TY I CAPACITY I PREVIOUS CAPACITY
FACILITY NAME
LICENSE CATEGORY
E CENTER HS PGMS - BOOTH DR. CTR. (PRESCHOOL & INFANT CENTER)
AUTHORITY
850 & 830
STREETADDRESS (aalualLacsrfanj
NUMBER OF BUILDINGS
1567 BOOTH DR.
CITY
RESTRAINT
GRIDLEY
NO
FACILITY CONTACT PERSON'S Na P
�
x�- /.
HOURS
• • •N ..�����
DAYS
• • � .1 / ! \ 1 I I ••�.__� __ �� M.�^� N . . M •.__ •. �_MM. • __ • .. • _ .. •_. • _ • _ • • . h.. • . .w.�. � . •N
SPECIAL CONDITIONS
_ • • • • M M • _ • ..
PLEASE INSPECT KrTCHEN FOR USE.
TO BE COMPLETED BY INSPECTING AUTHORITY
INSPECTOR'S NAMIE MpadarArrmfed) TELEPHONE NUMSEA GFiRS NUMBED OCCUPANCY CLASS
'7r 10061 z5;
INSPEG ONO E NSPECTdR'SSIGNA RF(T p-
'-7 '-
EXP IIS DENIAL OR LIFT SPECIAL. CONDITID ..
Iv
CLEARANCE!DENIAL CODE
CODES
1. FIRE CLEARANCE GRANTED
2, FIRE CLEARANCE DENIED
A, EXITS
S. CONSTRUCTION
C, FIRE ALARM
D, SPRINKLERS
E. HOUSEKFPING
F. SPECIAL HAZARD
G, OTHER
FIRE
MATT DAMON, DEPUTY FIRE MARSHALL
AUTHORITY
OROVILLE
NAME AND
ADDRESS
FAX: 538-7401
INSPECTOR'S NAMIE MpadarArrmfed) TELEPHONE NUMSEA GFiRS NUMBED OCCUPANCY CLASS
'7r 10061 z5;
INSPEG ONO E NSPECTdR'SSIGNA RF(T p-
'-7 '-
EXP IIS DENIAL OR LIFT SPECIAL. CONDITID ..
Iv
CLEARANCE!DENIAL CODE
CODES
1. FIRE CLEARANCE GRANTED
2, FIRE CLEARANCE DENIED
A, EXITS
S. CONSTRUCTION
C, FIRE ALARM
D, SPRINKLERS
E. HOUSEKFPING
F. SPECIAL HAZARD
G, OTHER
0510512008 11:+8
e cente
(FAX) P.0011009
ec,uu-ation .
environment -�
ennoiovrnent
Head Start Programs
FAX COVER SHEET
Yuba City Office
961 Live Oak Blvd Suite B
Yuba City, Ca 95991
(530)755-1159
Fax: (530)755-1754
Dake: Fax No.: (5-9 0) S38 -7c -FO/
To: Phone No: (x'30 J �� - CO g3,7 e�F- I C6
From:{�# of Pages
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E Center Administrative Office 410 Jones Street, Ukiah, CA 95482 (707)468-4194 FAX (707)468-0407 ecenter@ectr.org
oE CENTER START
R. D, APPROVAL:
SAD
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' fN.4t., DatelFecha To/Hasta
Monday/Lunes T uesday/Martes Wednesday/Miircoles Thursday/Jueves FridayNi nes
e Oatmeal French Toast Cold Cereal Scones Scrambled Eggs
Peaches Strawberries Banana Apple Sauce Wheat Toast
Milk Milk Milk Milk Oranges
Milk
Avena
Pan Franc6s
Cereal Fria
Panecillos Bscones
Huevos Revueltos
�
Durazno
Fresas
Pldtano
Pure de Manzana
Pan Tostado
Leche
Leche
Leche
Leche
Naranja
Leche
Bean Taco
Baked Parmesan Chicken
Tuna Sandwiches.
Beef Stir -fry with Veggies
Cheese Pizza• • M,�
MS
Lettuce & Tomato
Mashed Potatoes
Spinach Salad
Whole Wheat Bread
Steamed Brown Rice
Watermelon
Asparagus
Pineapple
Cole Slaw
Pears
Milk
Apple slices
Milk
Cantaloupe
Milk
Milk
Milk
Tacos de F'rljol
Patio Parmesano al horno
Pizza de Queso
Sandwich de Atiin
Stir -fry de Res icon
Lechuga y Tornate
Purd de Papa
Ensalada de Espinaca
Ensalada de Repollo
Vegetales
a
Sandia
Bsperrago
Pina
Nlelan Amanilo
Arroz Caf6 al Vapor
Leche
Manzana
Leche
Leche
Peras
Leche
Leche
Fruit Salad
Peanut Butter Sandwich
Zucchini Bread
Cheese Sticks
Cottage Cheese
o
Bread Sticks
Milk
Milk
Wheat Crackers
Pineapple
�
Orange Juice
0
Palitos de Queso
Ensalada de Fruta
Sindwiches de Crema de
Pan de Calabacita
Galletas de Trigo
Reques6n •i
Palltos de Pan
Cacahuate
Leche
Jugo de Naranja
Pine
Leche
Approved by The Menu Committee 3114107/Apmbado par ei ComitJ deMenu 3/14/07 Foods will be modified to meet Children's nutritional Needs.
00 Menus ate subject to change/Los Mentis est& si fetos a cambios Los arlin:entos se niodi fiean para cuniplir necesidades nutrlcionales de los ntfios.
Water is ava.flabie at all times/Agua esta disponible a todas horns
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WEEKLY MENUIMF.MI DE LA SMfANA
We'ektSemana #0 2
DatelFecha; TolHgsta:
R.D. APPROVAL; �VJ
DATE OF APPROVAL:
1 d+�x'3i
Monday/Lunes
Tuesday/Martes
Wednesday/Midreoles
Thursday/Jueves
Friday Writes
Waffle
Cream Of Wheat
Breakfast Burrito
Cold Cereal
Corn Tortilla Quesadilla
a°
Strawberry Puree
Peaches
Banana
Pears
Orange slices
cl
Cantaloupe
Milk
Milk
Milk
Milk
0
Milk
Burrito de Desayuno
Waffle
Crema de Avena
Pldtano
Cereal Frit
Quesadilla en Tortilla de
Pur6 de Fresa
Duano
Leche
Pere
VaIZ
Me6n Amarillo
Leche
Leche
1Varanja
Leche
Leche
Beef Stew
Cheese ravioli
Chicken Teriyaki
Bean Tostada
Fish Sticks
Mixed Veggies
Green Salad & Tomato
Steamed Brown Rice
Lettuce & Tomato
Wheat Roll
o
Corn Tortillas
Hone• dew Melon
Y
Steamed Broccoli
Apple slices
Baby Carrots
Nectarines
Milk
Papaya
Milk
Strawberries
Milk
Milk
�
Caldo de Res
Ravoli de queso
Pollo Teriyaki
Tostada de Frijoles
Pantos de Pescado
a
Vegetal Mixto
Ensaladay tomate
Panecillo de Trigo
Lechuga y Tom. ate
Pan de Trigo
Tortilla de Matz
1�Ielon
Arroz Cafd al vapor
P
Manzana
Zanahoria
Nectarinas
Leche.
Papaya
Leche
Fresas
Leche
Leche
Leche
Banana Bread
Fruit Smoothie
Juice Popsicles
Graham Crackers
Yogurt
o
Milk
Ritz Wheat Crackers
Crackers
Milk
Bread Sticks
b
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0
Pan de P13tano
Llcuado de Frutas
Paletas congeladas de Jugo
Galletas de Canelo
Yogurt
Leche
Galleta Ritz de Trigo
Galletas
Leche
,
Palitos de pan
. l w,n r ...-- - ._ .
v> i"&- iV&L"LA a vuuuuaLM-wi L -?/IJ 114UUruu4av,PUr CI L,.UMUC L/94 menu ;/s wtit
Menus sore subject to change/LosMenus estdn sit eros a cambios
Water is available at aU ti mes/Agua esta disponible a Was homy
Weekly Food ActivitylActividad de Mutriclon Semanal:
E Center Head Start: Weekly Menu
r -coag wLu oe mo=ecito Meet children's nutritional needs.
Los alimentos se modiftj an para cumplir necesidades de los niflas
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R D. APPROVAL: InAAIA�
DATE OF APPROVAL: I r�-.{ b$
Pr4l- Monday/Lunes Tuesday/Martes 'Wednesday/M ircoles Thursday/Jueves
o Egg on English Muffin Cold Cereal Raisin Bread Toast Breakfast Pizza
Strawberries Banana Honeydew Melon Mixed Fruit
Milk Milk Milk Milk
a3
Huevo on Panecillo English Cereal 06 Pan tostado de pass Pizza de desayuno
Muffin Pldtano Meldn MVlixto de Fruta
Fresas Leche ;� Leche Leche
Leche
Garbanzo with Mixed Meat Loaf Turkey & Cheese Sandwich Macaroni & Cheese
Veggies Mashed Potatoes Baby Carrots Spinach Salad
o Cantaloupe Pineapple Apple Slices Watermelon
Corn Tortillas whole Wheat Bread Milk Milk
Milk Milk
Garbanzo con Vegetal Mixto Barra de Came de Res Sdndwich de avo con Macarr6n con ueso
� 9 P �
a Meldn Amarillo Purd de Papa queso Ensalada de Espinaca
Tortillas Pina Zanahorlas Sandia
Leche ' ' Pan de Trigo Rebanadas de manzana Leche
Leche Leche
Cottage Cheese Boiled Eggs Fresh Vegetables (Carrots & Oatmeal Raisin Bars
o Fruit Salad Apple Juice Cauliflower) w/ Dip Milk
Whole Wheat Crackers
0
Requesbn Huevos Cocidos Vegetales frescos con Dip Barritas de Avena y Pasas
Cd Ensalada de Fruta Jugo de Manzana (Zanahoda y Coligor) Leche
rn Galletas Ritz de Trigo
Approved by The Menu Committee 3/14107Aprobodo par el Comite Del Adienti 3114/07
Menus ere subject to chwge/Los Mentis eshin st jetos a cam blos
Water is available at all titnes/Agua esta disponible a todas horas
Weekly Food Activity/ActNldad de NutricOn 5emanal:
E Center Head Start: Weekly Menu
Fridayffleinaes
Malto Meal
Mandarin Oranges.
Milk
Crema de trigo
Mandarrna
Leche
Chicken Enchilada
Mexican Corn
Mango
Milk
Enchilada de Po/la
Elote Mexicano
Mango
Leche
Cheese Sandwich
Orange Juice
64
Sandwich de Queso
Jugo de Naranj a
Foods will be modified to meet children's nutritional needs.
Los alintentos se moth Lean para complir las necesidades nutrieionales de los niflos.
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WENU/DE LA SE14MA
WeeklSemana #: 4
Date/F'echa: TolHasta:
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DATE OF APPROVAL; )9A.oLb
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Monday/Lune9 Tuesday/Martes WednesdaylMiercotes Thursday/Jueves Fridayffleriies
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Cold Cereal
Banana
Milk
Cereal frig
P16tano
Leche
Cn
CD
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Potato and Egg Burrito
Strawberries
Milk
Burrito de Papa y Huevo
Fresas
Leche
Yogurt with Granola
Toast
Kiwi Cups
Milk
Yogurt con Granola
Pan Tostado
Vasitos de Kiwi
Leche
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Chicken Noodle Soup
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CENTER/CENTRO:
Baked Fish
Chili Beans
COOWCOCIERA:
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WENU/DE LA SE14MA
WeeklSemana #: 4
Date/F'echa: TolHasta:
R.D. APPROVAL.. INvvo
DATE OF APPROVAL; )9A.oLb
II� Nfi
Ire
Monday/Lune9 Tuesday/Martes WednesdaylMiercotes Thursday/Jueves Fridayffleriies
c
8
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Cold Cereal
Banana
Milk
Cereal frig
P16tano
Leche
Biscuit with 100% fruit Jam
orange slices
Milk
Biscuit con 100% Mermelada
de fruta
Naranja
Leche
Rice cooked with milk
Peaches
Milk
Arroz con Leche
Durazno
Leche
Potato and Egg Burrito
Strawberries
Milk
Burrito de Papa y Huevo
Fresas
Leche
Yogurt with Granola
Toast
Kiwi Cups
Milk
Yogurt con Granola
Pan Tostado
Vasitos de Kiwi
Leche
Chicken Noodle Soup
Vegetable Lasagna (cheese)
Hamburgers
Baked Fish
Chili Beans
Mixed Vegetables
Zucchini & Broccoli
Lettuce and Tomato
Mixed Vegetable Salad
Broccoli
o
Pineapple
Watermelon
Pears
Apricots
Cantaloupe
Milk
Milk
Milk
Wheat Roil
Corn Bread
Milk
Milk
Caldo de Polio con Pasta
Lasagna Vegetadana (queso)
Hamburguesas-
Pescado al horno
Chili Beans
Vegetal Mixto
Calabacita y Brocoll
Lechuga y Tomate
Ensalada Mixta de Vegetales
Broccoli
A
Pira' •
001'
Ila
Sandia
Peras
Chabacanos
Melon Amarillo
Leche
Leche
Leche
Panecillo de Tri9o
Pan de Matz
ip
Leche
Leche
Wheat Ritz Crackers
Apple Slices & Peanut Butter
Yogurt Popsicles
Com on the cob
Rice Crackers
o
Cheese
Milk
Graham Crackers
Milk
Apple Juice
Grape Juice
Galletas Ritz de Trigo
Rebanadas de manzana con
Paletas de Yogurt
Elote
Galletas de Arroz
a
Queso
crema cacahuate
Galletas Graham
Leche
Jugo de Manzana=.:t;::..�
cil
Juga de Uva
Leche
_
Approved by The Menu UOU= ieW/ 14/U-llAprobado par el (:onlile Del Ment -111410
Menus are subject to change/Los mengs estdn safetos a cambios
Water is available at all times/Agua esta disponible a todas horns
Weekly Food Acti` iy/A dividad de Nalricidn Semanal:
E Center Head Start: weekly Menu
r•ooas ww De mo=ea to mcez emiam, s numuontu neeas.
Los alinientos se modifFcan para cump11r las necesidades natrieionales de los niflos
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C001KICOGNERA:
.09
E CENTER HEAD START
WEEKLY MENUIMENUDELA S&WWA
WeeldSemana #: 5
Date/Fecha: TolHasta:
R. D. APPROVAL:
DATE OF APPROVAL: �Z
.r%YY1.0 VV- UY 111G 1V1GLLLL%.U11UL LLGC.! 1`tiv I111pruval%u por Qi L. -OMI flu val muln l J/1 Y/u/
Menus are subject to change/Los Uen& estdn sujetos a cainbios
Water is available at all times/Apa esta disponible a todas horns
Weeldy Food Activity/Actividad de Nutrlcidn Senjanal;
00
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Mand ayiLunes
Tuesday/Martes
Wednesday/M ircoles
Thursday/Jueves
Fridayfflo nes
Oatmeal & Wheat Toast
Cold Cereal
Scrambled Eggs with Cactus
French Toast
Cook's Choice Muffins
Peaches
Bananas
Cantaloupe
Apple Sauce
Orange slices
Milk
Milk
Corn Tortilla
Milk
Mllk
Milk
Avena y Pan Tostado
Cereal N6
1-luevo Revuettos Con IVopales
Me/bn Amarillo
Pan Frances
Panecillo al gusto de !a
Cocinera
Durazno
Plefano
Tortilla de Matz
Pur6 de Manzana ;. ' �, ;.�,
1liaranja
s�
Leche
Leche
Leche
Leche '`•
Leche
Lentils over Rice (East
Chicken Cacciatore
Spaghetti & Meat Sauce
Cheese Pizza CP
Bean Tostadas
Indian dish)
Rice Pilaf
Lettuce and Cucumber
Corn on the cob
Lettuce & Tomato
c
Steamed Red Cabbage
Asparagus
Salad
Plums
Strawberries
Honeydew Melon
Pineapple
Pineapple
Milk
Milk
Milk
Milk
Milk
Lentejas estilo a la India
Polio de Cacclatore
Spaghetti y Salsa de Carrie
Pizza de Queso
Tostadas de Frijol
Arroz Blanco
Arroz Pilaf
Ensalada de Lechuga y
Elote
Lechuga y Tomate
Repollo Morado al Vajb
or
EsOrregos
Pepino
Ciruelas
Fresas
Mel6n Blanco
pins
Piha
Leche
Leche
Leche
Leche
Leche
Blueberry Squares
Cottage Cheese
Mixed Bell Peppeirs & Dip
o
Fruit Smoothie Tdscult Crackers
Ritz wheat Crackers Banana Orange Juice
Milk
Pineapple
Goldfish Crackers.-
rackers
0
Chiles Campana mixtos
Chiles
a
Licuado de Frutas Galletas Triscuit
Pan de Blueberry
Reques6n
con aderezo
cn
Ritz de Trigo ,Lugo de Pldtano y Naran, ja
Leche
Pirfa
Galletas de Goldfish
.r%YY1.0 VV- UY 111G 1V1GLLLL%.U11UL LLGC.! 1`tiv I111pruval%u por Qi L. -OMI flu val muln l J/1 Y/u/
Menus are subject to change/Los Uen& estdn sujetos a cainbios
Water is available at all times/Apa esta disponible a todas horns
Weeldy Food Activity/Actividad de Nutrlcidn Senjanal;
00
0
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Q E Center Head Start; Meekly Menu
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WEEKLY MENII1MENi1'DELA. SEMAIVA
WeeklSemana #: 6
DatelFecha: TolHasta:
R D. APPROVAL: YVVV0
DATE OF APPROVAL: "l I�o 4 00
Monday/Eunes Tuesday/Martes Wednesday/Afidreoles Thursday/Jueves Friday/Viernes
pq
Malto Meal & Toast
Cantaloupe
Milk
Crema de Trigo y Pan
Tostado
Mel6n Amarillo
Leche
Cold Cereal
Banana
Milk
Cereal #16
Pldtano
Leche
Banana Muffin
Aprlcots
Milk
Panecillo de P16tano
Chabacanos
Leche
Quesadillas
Strawberries
Milk
Quesadillas
Fresas
Leche • '''
0 CP
Pancakes w/ Blueberry
Puree
Oranges
Milk
Pancakes con Puttd de
Blueberry
Narenja
Leche
Chicken with Pasta Fideo
Turkey & Cheese Roll -Up
East Indian Beef Keemah
Bean Enchiladas •
Fish Nuggets
Cam & Zucchini
Baby Carrots & Dip
Mixed Vegetables
Spinach Salad
Mixed Veggies
Apple slices
Peaches
Watermelon
Pineapple
Mango
Corn Tortilla
Milk
Brown Rice
Milk
Whole Wheat Bread
p
Milk
Milk
Milk
Fideo con Polio.
Rollo de Pavo y Queso
Came de Res Keemah
Enchiladas de Fr`Ijol
Pescado Empaniz.ado
a
Elote y Calabacrfa
Zanahorlas y Aderezo
Vegetal Mxto
Ensalada de Espinaca
Vegetal M►xto
Manzana
Duraznos
Papaya
Pi►ia
Pan de Trigo
Tortilla de Matz i
Leche
Arroz Card
Leche
Mango
Leche
Leche
Leche
o
Orange Bread
Milk
Rice cooked wlth Milk
Fruit Cocktail
Raisin Bread
Milk
Ritz Wheat Crackdrs
Apple Juice
Vanilla Wafers
Fresh Mixed Fruit
Pan de Naranja
Arroz con Leche
Pan de Pasas
Ritz de Trigo
Galletas de VaInills
Leche
C6ctel de Fruta
Leche
Jugo de Manzana
Frute fresca Mixta:
Approved by the 03I14107Aprobado por el Comild DeWenri 3/14/07
Menus are subject to change/Los Mensis estdn sujetos a cambios
Water is available at all timeVAgua esta disponible a todas horas
Weeldy Food Activity/Actividad de Nutriclon Semanal:
B Center Head Start: Weekly Menu
mons will be moameu to meet caunren's numuonat neeas.
Los alimentosse modfflcan paracumplir las neeesidades nuuicionales de las nihos,
0
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CENTERICENTRo:
coolvcocrNm:
K CENTER HEAD START
WEEKLY MENU& &Ar6DE LA SMDWA
WeeklSemana #: 7
D atelFecha: T o/Hasta:
TuesdaylMartes
French Toast
Strawberries
Milk
Pan Franc6s
Fresas
Leche
Sloppy Joes
Green Beans
Cantaloupe
Milk
Carne Molida en Tomate
Pjotes
Melbn
Leche
Wednesday/Midreoles
Oatmeal
Banana
Milk
Avena
Pldtano
.eche
Chicken Pozole
Corn Tortillas
Shredded Cabbage
Mangos
Milk
Pozole can polio
Tortilla s
Repollo
Mangos
Leche
R. D. APPROVAL:
DATE OF APPROVAL:
ThursdaylJueves Friday/Viernes V1
Cold Cereal Grilled Cheese Sandwich
Fruit Bowl Oranges
Milk Milk
Cereal F66
Monday/Luunes
Tasa de Frutas
Spinach Salad
o
Chilaquiles
Peaches
Cheese Enchiladas
Milk
Steamed Zucchini
Lettuce & Tomato
�
Chtlaquiles
p
a
Durazno
Leche
Leche
K CENTER HEAD START
WEEKLY MENU& &Ar6DE LA SMDWA
WeeklSemana #: 7
D atelFecha: T o/Hasta:
TuesdaylMartes
French Toast
Strawberries
Milk
Pan Franc6s
Fresas
Leche
Sloppy Joes
Green Beans
Cantaloupe
Milk
Carne Molida en Tomate
Pjotes
Melbn
Leche
Wednesday/Midreoles
Oatmeal
Banana
Milk
Avena
Pldtano
.eche
Chicken Pozole
Corn Tortillas
Shredded Cabbage
Mangos
Milk
Pozole can polio
Tortilla s
Repollo
Mangos
Leche
R. D. APPROVAL:
DATE OF APPROVAL:
ThursdaylJueves Friday/Viernes V1
Cold Cereal Grilled Cheese Sandwich
Fruit Bowl Oranges
Milk Milk
Cereal F66
Vegetarian Pizza
Tasa de Frutas
Spinach Salad
a�
Apple Slices
Cheese Enchiladas
Milk
Steamed Zucchini
Lettuce & Tomato
�
Pizza de queso
p
a
EnsaJada de espinaca
Rebanadas de manzana
Leche
K CENTER HEAD START
WEEKLY MENU& &Ar6DE LA SMDWA
WeeklSemana #: 7
D atelFecha: T o/Hasta:
TuesdaylMartes
French Toast
Strawberries
Milk
Pan Franc6s
Fresas
Leche
Sloppy Joes
Green Beans
Cantaloupe
Milk
Carne Molida en Tomate
Pjotes
Melbn
Leche
Wednesday/Midreoles
Oatmeal
Banana
Milk
Avena
Pldtano
.eche
Chicken Pozole
Corn Tortillas
Shredded Cabbage
Mangos
Milk
Pozole can polio
Tortilla s
Repollo
Mangos
Leche
R. D. APPROVAL:
DATE OF APPROVAL:
ThursdaylJueves Friday/Viernes V1
Cold Cereal Grilled Cheese Sandwich
Fruit Bowl Oranges
Milk Milk
Cereal F66
Sandwich de Queso Callente
Tasa de Frutas
Narenja
Leche
Leche
Cheese Enchiladas
Grilled- Chicken Sandwich
Steamed Zucchini
Lettuce & Tomato
Strawberries
Orange Slices
Milk
Milk
Enchilada de queso Sdndwfch de Po!!c Asado
Calabacin at vapor Lechuga Y fornafe
Fresas Rebanadas de ne►enjas
Lecke Lecke
Peanut Butter Yogurt with fresh fruit Juice Popsicles Oatmeal Cookie Spaghetti Squash
%° Celery and Apple slices Bread Sticks Ritz Crackers Apple Juice Milk
Crema de Cacahuate Yogurt con fruta fresca Palefas de Jugo Galletas de Avena Calabaza ,EspaguetI.-'.,:N:.-- •.
Apio y Manzana Palitos de Pan Gal/etas Ritz Jugo de Manzana Leche
ilk 'i :Y I
Approved by the Menu Committee 3114/071Aprobado por el Comite de Menu 3114107 Foods will be modified to meet Children's nutritional needs,
Menus are subject to change/Los Menus estdn notos a camblos Los alimentos se modicrnr para cuniplir las necesidades nulrt'cionales de los niflos.
Water is available at all timeslAgua esta disponible a todas horns
Weeldy Food ActivitylActividad de Nutrition Semanal:
ao
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Q E Center Head Start; Weekly Menu
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WEEKLY MENII/ACJ DE LA SEMANA
WeeklSemana #: 8
Date/Fecha: T o/Hasta:
I D. APPROVAL h
0
DATE OF APPROVAL:
Approveu dy Me Menu Lommuce snlryu gAprooaao por ec uamire rre mEnu .3fl-viuf
Menus are subject to change/Las Mangs estdn ,vgjetos a camblos
Water is available at all times/Agua esta disponible a todas hares
Weeidy Food ActivitylActividad de Nutricion Semanal:
E Center Head Start: Weeldy Menu
.0000Z Will UG ,LLIULIIILGLA LU JAMUL L4UlUiiCiil 1 AAUUAu%J"-4A a��r•�
Los alimantos se modifican paras cumplir las necesidades nutricionales de 103 niflos.
Nlonday/Lunes
Tuiesday/Martel
'Wednesday/M 6rcoles
Thursday/Jueves
FridayNiermes
Cold Cereal
Pancakes
Egg Puffs
Bagel with Cream Cheese
Cooks Choice Bnaad
o
a
Peaches
Apple Sauce
Wheat Toast
Mango
Papaya
Milk
Milk
Cantaloupe
Milk
Milk
rA
Milk
m
Cereal Frlo
Pancakes
Huevos al hornos
Bagel con Crema de Queso
Pan a/ Gusto de 16 Cocinera
I
Durazno
Purl de Manzana
Pan Tostado de trigo
Mango
Papaya
Leche
Leckie �: G�
';.
Melon Amarillo
Leckie
Leckie
Leche
Soup
Meatball Sou
Curry
Chicken Cur •..�,
Whole Beans
Chicken Salad Tostadas
Spaghetti &Meat sauce
Carrots
Steamed Rice
Cactus Salad
Baby Carrots
Garlic Bread
Apple Slices
Cucumbers
Orange Slices
Peaches
Green Salad Uomato
e
Corn Tortillas
Watermelon
Corn Tortillas
Milk
Pears
Milk
Milk
Milk
Milk
Albdndl9as
!
Polio estilo Curry
Frijoles de la Hoya
Tostadas de Ensalada de
Espagueti con salsa y
�
Zanahorias
Arroz al Vapor
Ensalada de Nopales
Polio
carne
Pan de ado
,,..�
e a alas de manzana
R bn
Pe ino
p
Rebanadas de Naren'a
�
Zanahorlas
Ensalada y tomat��
Tortillas de Matz
Sandia
Tortillas
Duraznos
Peres
!.eche
Leche
Leckie
Leche _
Leche
t=rail Srnoothle
Boiled Eggs
Baked Yarns
Rice Pudding
Corn an the Cob
Whole Wheat Ritz Crackers
Crackers
Milk
Mixed Fruit ,
Milk
�
Orange Juice
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Llcuado de Frutas
Galletas Ritz de Trigo
Huevos Cocidos
Galletas
Camote Horneado
Leche
Pudln de Arroz
Fruto Mlxta
dotes Frescos •
Leche '.
a
Jugo de lvaranja
'
Approveu dy Me Menu Lommuce snlryu gAprooaao por ec uamire rre mEnu .3fl-viuf
Menus are subject to change/Las Mangs estdn ,vgjetos a camblos
Water is available at all times/Agua esta disponible a todas hares
Weeidy Food ActivitylActividad de Nutricion Semanal:
E Center Head Start: Weeldy Menu
.0000Z Will UG ,LLIULIIILGLA LU JAMUL L4UlUiiCiil 1 AAUUAu%J"-4A a��r•�
Los alimantos se modifican paras cumplir las necesidades nutricionales de 103 niflos.
TATEOF CALIFORNIA
IRE SAFETY INSPECTION REQUEST
See instructions on reverse.
TD. 850 (REV. 10-94)
%GENCY CONTACT'S NAME
CDSS/COMMUNITY CARE LICENSING
EVALUATOR'S NAME
0101 /MARGIE WHITAKER
TELEPHONE NUMBER REQUEST DATE
530 895-5033 4/17/08
REQUESTING AGENCY FACILITY NUMBER
t
045405308
LICENSING I DEPARTMENT OF SOCIAL SERVICES
AGENCY COMMUNITY CARE LICENSING
NAME AND 520 COHASSET ROAD, SUITE 6
ADDRESS CHICO, CA 95926
PROGRAM
CCL
REQUEST CODE
7A
-----��____-_--CODES
1. ORIGINAL A. FIRE CLEARANCE
2. RENEWAL B. LIFE SAFETY
3. CAPACITY CHANGE
4. OWNERSHIP CHANGE
5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY
NONAMBULATORY
BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY
j
I
38
CAPACITY PREVIOUS CAPACITY
I
3
3
CAPACITY PREVIOUS CAPACITY
i
41 -
E t
a
FACILITY NAMEi LICENSE CAI EGORY
i
E CENTER HS PGMS - BOOTH DR. CTR.
850
...... _.._...... _... _ _.-_._.._ _ _...._.._ ._....__..._..___ ___._._..._........_.__.-_...._.............. .....__.._.._--_............. ........ ..........._._............. ...... ------- _.__ . -_........... --.............. ......... .. _._.._. _-.......................... ...... - - _ .. _........_ _ .. _ ......_.. _ ...... ._.....
STREET ADDRESS(ActualLocation)
_. - _ . _.. -. _ ........---------
----STREETADDRESS
NUMBER OF BUILDINGS
1567 BOOTH DR. I
:
CITY
RESTRAINT
GRIDLEY
NO
FACILITY CONTACT PERSON'S NAME
HOURS
DIANA BECERRA (530) 846-3204
M -F 8AM - 3PM
SPECIAL CONDITIONS
EXISTING PRESCHOOL IS RELOCATING 10 TODDLERS (18 - 30 MOS) TO ROOM #2; 23 PRESCHOOLERS (2-5 YRS) WILL.
REMAIN IN ROOM 3 (THREE TO BE NON-AMBULATORY). ADDING INFANT CENTER - CAPACITY 8 (0-18 MOS) IN ROOM #1 .
KITCHEN, ROOMS 415 & 6 WILL BE OFF LIMITS DUE TO LACK OF FIRE CLEARANCE. TOTAL CAPACITY TO BE 41.
TO, BE COMPLETED , BY INSPECTING AUTHORITY
CLEARANCE/DENIAL CODE
_-CODES
1. FIRE CLEARANCE GRANTED
FIRE BUTTE COUNTY FIRE DEPT.
AUTHORITY 176 NELSON AVE.
NAME AND
2. FIRE CLEARANCE DENIED
OROVILLE, CA 95965-3425
ADDRESS
A. EXITS
j
B. CONSTRUCTION
C. FIRE ALARM
_
0. SPR!NKLERS
INSPECTOR'S NAME (Typed orPrinted) TELEPHONE NUMBER CF'iRS NUMBER OCCUPANCY CLASS
I
E. HOUSEKEEPING
( } I I
I
F. SPECIAL HAZARD
G. OTHER
INSPECTION DATE
INSPECTOR'S SIG NATURE(Typed or Printed)
A
EXPLAIN DENIAL OR LIST SPECIAL
CONDITIONS
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'ATE OF CALIFORNIA
IRE SAFETY INSPECTION REQUEST
850 (REV. 10-94) (REVERSE) INSTRUCTIONS
This form is designed for use with a window envelope
Licensing or Requesting Agencies --Complete the following 19 sections on this form
before submitting it to the fire authority having jurisdiction.
1. AGENCY CONTACT, 2. TELEPHONE
NUMBER, 5. EVALUATOR. Enter the name and
telephone number of agency contact person.
3. PROGRAM. Licensing agency use.
4. REQUEST DATE. Enter date request was prepared.
6. REQUESTING AGENCY FACILITY NUMBER. This
is the file number assigned by the licensing agency.
7. REQUEST CODE. Use the seven codes shown and insert
the appropriate number in the box following "Request Code". If
NAME CHANGE, please list previous name. Insert date of
original request is other than an original.
8. AGENCY NAME AND ADDRESS. Enter the name and
address of the licensing facility requesting the inspection.
9. AMBULATORY--NONAMBULATORY--BEDRID-
DEN.
Capacity: Insert in the appropriate section, the capacity
of licensed ambulatory or nonarnbulatory oc-
cupants covered by this request.
10. FACILITY NAME. Insert the name of the facility as it
will appear on the license. List identifying sub name if known
(i.e., Hacienda Corp/Medina Lodge).
11.. LICENSE CATEGORY. Insert the category of license
being sought as it will appear on the license certificate.
12. ADDRESS. Insert street address and city only. A post
office box is not acceptable as only location.
1.3. NUMBER OF BUILDINGS. Insert the total number of
buildings to be used for housing ofthe occupants covered by
the license.
14. RESTRAINT. Indicate if physical restraint (locked in a
room or the building) is to be used in the housing of the
occupants.
15. FACILITY CONTACT PERSON --TELEPHONE
NUMBER. Indicate the name and telephone number of the
responsible individual at the facility to be contacted by the
fire authority.
1.6. HOURS. Indicate the number of hours the occupants are
housed at the facility (less than 24 or 24+).
Previous If request is for renewal or capacity change, 17. SPECIAL CONDITIONS. Indicate any conditions
Capacity: insert capacity of previous clearance. unique to this request. As an example, if the inspection
Total Show total licensed capacity. If the facility is request is for one building in a multi -building facility.
Capacity: intended to house part ambulatory, nonambu-
latoly, and part bedridden, show the total of
the three types of occupants.
FIRE AUTHORITY CONDUCTING THE INSPECTION --COMPLETE THE FOLLOWING:
18. FIRE AUTHORITY, NAME AND ADDRESS. Insert_ 22. OCCUPANCY CLASSIFICATION. Use California
the name and address of the fire authority where the facility is Building Code occupancy classifications and insert the
located. occupancy determined by the. inspector.
1.9. CLEARANCE/DENIA.L CODE. Use the two codes: 1 23. INSPECTION DATE. Enter the actual date of the
for clearance granted, and 2 for clearance denied. If denied, inspection.
also include the appropriate letter code. As an example, Denial 24. INSPECTOR'S SIGNATURE. To be signed by the
based upon exiting would be coded 2A. - .
inspector conducting the inspection.
20. INSPECTOR'S NAME. Print the initial of the inspector's
first name and full last name, insert the telephone number
where the inspector may be contacted.
21. CFIRS I.D. NUMBER. Insert the fire department's num-
ber assigned by California Fire Incident Reporting System.
25. EXPLAIN DENIAL OR SPECIAL
CONDITIONS. If clearance code 42 is used, briefly-
explain reason. This space is also to be used to specify any
additional limitations placed by the fire authority, such as the
use of certain floors or sleeping rooms approved for
nonambulator -N, clients.
TATE OF CALIFORNIA
IRE SAFETY INSPECTION REQUEST
TD. 850 (REV. 10-94)
See instructions on reverse.
GENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
CDSS/COMMUNITY CARE LICENSING 530 895-5033 4/17/08 I CCL VALUATOR'S NAME ? REQUESTING AGENCY FACILITY NUMBER ' REQUEST CODE
0101 /MARGIE WHITAKER 045405308 �! - 7A
CODES
�---- 1. ORIGINAL A. FIRE CLEARANCE
E DEPARTMENT OF SOCIAL SERVICES
LICENSING 2. RENEWAL B. LIFE SAFETY
AGENCY COMMUNITY CARE LICENSING
NAME AND 520 COHASSET ROAD, SUITE 6 3. CAPACITY CHANGE
ADDRESS CHICO, CA 95926 4. OWNERSHIP CHANGE
5. ADDRESS CHANGE
-i 6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY
PREVIOUS CAPACITY CAPACITY i PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
38
3 -
FACILITY NAME LICENSE CATEGORY
E CENTER HS PGMS - BOOTH DR. CTR. 850
........ ... ..... ............._ ..--------------------.............._.........._........................._.._---__..__._............ _
STREETADDRESS (Actual Location) NUMBER OF BUILDINGS
1567 BOOTH DR.
CITY RESTRAINT
GRIDLEY NO
FACILITY CONTACT PERSON'S NAME i HOURS
DIANA BECERRA (530) 846-3204 M -F 8AM - 3PM
SPECIAL CONDITIONS
EXISTING PRESCHOOL IS RELOCATING 10 TODDLERS (18 - 30 MOS) TO ROOM #2; 23 PRESCHOOLERS (2-5 YRS) WILL
REMAIN IN ROOM 3 (THREE TO BE NON-AMBULATORY). ADDING INFANT CENTER - CAPACITY 8 (0-18 MOS) IN ROOM #1.
KITCHEN, ROOMS 4,5 & 6 WILL BE OFF LIMITS DUE TO LACK OF FIRE CLEARANCE. TOTAL CAPACITY TO BE 41.
TO BE COMPLETED BY INSPECTING AUTHORITY
_
i
CLEARANCE/DENIAL CODE
_l
CODES
FIRE BUTTE COUNTY FIRE DEPT.
1. FIRE CLEARANCE GRANTED
AUTHORITY 176 NELSON AVE.
2. FIRE CLEARANCE DENIED
NAME AND OROVILLE CA 95965-3425
ADDRESS
A. EXITS
j
B. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
INSPECTOR'S NAME (Typed or Printed)
TELEPHONE NUMBER CARS NUYIBER OCCUPANCY CLASS
E. HOUSEKEEPING
( )
F. SPECIAL HAZARD
G. OTHER
INSPECTIONDATE
INSPECTOR'S SI GNATU RE (Typed orPrinted)
EXPLAIN DENIAL OR LIST SPECIAL
CONDITIONS
El TATE OF CALIFORNIA
IRE SAFETY INSPECTION REQUEST
TD. 850 (REV. 10-94) See instructions on reverse.
AGENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
CDSS/COMMUNITY CARE LICENSING I 530 895-5033 4/17/08 CCL
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
0101/MARGIE WHITAKER 045405308 7A
CODES _
1. ORIGINAL A. FIRE CLEARANCE
DEPARTMENT OF SOCIAL SERVICES
ICENSING 2. RENEWAL B. LIFE SAFETY
AGENCY COMMUNITY CARE LICENSING
AME AND 520 COHASSET ROAD, SUITE 6 3. CAPACITY CHANGE
ADDRESS CHICO, CA 95926 4. OWNERSHIP CHANGE
5. ADDRESS CHANGE
i 6. NAME CHANGE
7. OTHER
AMBULATORY
NONAMBULATORY
BEDRIDDEN T TOTAL CAPACITY
C PACITY
PREVIOUS CAPACITY
CAPACITY i PREVIOUS CAPACITY
CAPACITY i PREVIOUS CAPACITY
i
D8
3
- 4l
FACILITY NAME ; LICENSE CATEGORY
C...... HS PGMS - BOOTH DR. CTR. E 850
....................ENTER
S REETADDRESS (Actual Location) � NUMBER OF BUILDINGS
567 BOOTH DR. ...........................RESTRAINT...................._............... ........... ..... ............. ....... .............................................................
I-- ._................_......_....-._..._........_...._......._......._..........._...___...........------................_._.......__..._....__.._..W.W..............................___....._._.__........_...._...._.................._....__-�.._....._.._.._....._.....---..........._........._......_........_.........................._...__..._..__^_.__................................._.................................._..........._..---..................._..................
CI
RIDLEY E NO
FACILITY CONTACT PERSON'S NAME j HOURS
DIANA BECERRA (530) 846-3204 M -F 8AM - 3PM
SPECIAL CONDITIONS
ISTING PRESCHOOL IS RELOCATING 10 TODDLERS (18 - 30 MOS) TO ROOM #2; 23 PRESCHOOLERS (2-5 YRS) WILL
MAIN IN ROOM 3 (THREE TO BE NON-AMBULATORY). ADDING INFANT CENTER - CAPACITY 8 ( 0-18 MOS) IN ROOM # l .
KITCHEN, ROOMS 415 & 6 WILL BE OFF LIMITS DUE TO LACK OF FIRE CLEARANCE. TOTAL CAPACITY TO BE 41.
TO BE COMPLETED BY INSPECTING AUTHORITY
CLEARANCE/DENIAL CODE
CODES
FIRE BUTTE COUNTY FIRE DEPT.
1. FIRE CLEARANCE GRANTED
A JTHORITY 176 NELSON AVE.
2. FIRE CLEARANCE DENIED
AME AND
OROVILLE, CA 95965-3425
DDRESS
A. EXITS
B. CONSTRUCTION
E
...............
C. FIRE ALARM
D. SPRINKLERS
INS PECTOR'S NAME (Typed orPrinted)
TELEPHONE NUMBER ( CFIRSNUfv16ER OCCUPANCY CLASS
t
E. HOUSEKEEPING
( l i
J ;
F. SPECIAL HAZARD
G. OTHER
INS DECTION DATE
INSPECTOR'S SIG NATU RE(Typed or Printed)
s�
EXF LAIN DENIAL OR LIST SPECIAL CONDITIONS