041370378-10-22-2019-13-CC-DWIN-BH7NNZ-20191022103735

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 041370378
Report Date: 10/22/2019
Date Signed: 10/22/2019 10:37:51 AM

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:	HELEN WILCOX PRESCHOOL		FACILITY NUMBER:	041370378
ADMINISTRATOR:	BUTCHER, KIMBERLY		FACILITY TYPE:	850
ADDRESS:	5727 AUTREY LANE		TELEPHONE:	(530) 533-1560
CITY:	OROVILLE	STATE: CA	ZIP CODE:	95966
CAPACITY:	60	CENSUS: 39	DATE:	10/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Site Supervisor/Teacher Tina Jamison		TIME COMPLETED:	10:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An Annual/Random inspection was conducted at the facility by Licensing Program Analyst (LPA), David Wilson. The facility file was reviewed on 10/15/2019 prior to this inspection. This facility is administrated under the Palermo Elementary School District. Staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. This facility is located at Helen Wilcox Elementary School (HWES). Operating hours are normally Monday through Friday, 7:30am to 5:30pm. This facility operates all year round. The classrooms are located in rooms 22A & 22B. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified as current. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. Per the Site Supervisor Jamison, poisons are locked in the elementary school's janitorial closet; none were observed at this facility during the inspection. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces were clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children’s bathrooms were in safe and sanitary condition. Food is prepared at the HWES cafeteria and brought to the classrooms. A current menu was posted in each classroom. Food prep areas are clean. Food is properly stored and free of contamination. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas were in safe condition. There is adequate cushioning underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed. Site supervisor Jamison stated no weapons are stored on site and none were observed. During today's inspection, of both classrooms staffing ratios were being met and there were a total of 39 children being supervised by a total of six teachers/aides. The facility was operating within the licensed capacity. At least one staff member present from each classroom during the visit possessed current CPR and First Aid certifications. Seven children’s records were reviewed and in substantial compliance. The sign in/out procedure was reviewed and in compliance. This facility is providing Incidental Medical Services (IMS) to children. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Continued on next page...

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2019

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: HELEN WILCOX PRESCHOOL	FACILITY NUMBER: 041370378
	VISIT DATE: 10/22/2019

NARRATIVE

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The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm.

This report was reviewed and discussed with Site Supervisor Jamison.

All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2019

LIC809 (FAS) - (06/04)

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