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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 041370397
Report Date: 07/09/2019
Date Signed: 07/09/2019 05:32:42 PM

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:CHICO COMMUNITY DAY CARE INFANT/TODDLER PROGRAMFACILITY NUMBER:
041370397
ADMINISTRATOR:MCGUIRE, SUEFACILITY TYPE:
830
ADDRESS:2224 ELM STREETTELEPHONE:
(530) 891-5363
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:17CENSUS: DATE:
07/09/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Jennifer Rich, Lead TeacherTIME COMPLETED:
03:30 PM
NARRATIVE
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An unannounced annual inspection was made to the facility by Licensing Program Analyst (LPA), Sandy Husband. The facility file was reviewed prior to this inspection. A review of the personnel report on 7/8/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The facility’s operating hours are 7:30 AM to 5:30 PM, Monday – Friday. This is an infant license that contains a toddler component and is located at a combination center with a separate preschool and school age license. Operating hours are 7:30 AM to 5:30 PM, Mon-Fri. The facility was toured inside and outside and the floor and yard plan were verified at 1:15 PM and 1:45 PM. Activity space for infants is separate from other age groups. Infant and toddlers each have separate classrooms and play yards. The items which could pose a danger to children (detergents and cleaning compounds) were inaccessible to children. The acting director stated that poisons are locked in a maintenance shed in the parking lot. The facility was free of flies, insects and rodents. The toys, floors, and other equipment and surfaces appeared clean, toxic free, safe for infants and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors via individual labeled cups and container of water. The infant changing tables have at least 3" sides and sanitary built in vinyl pad that is at least 1" thick. The toddler bathroom and hand washing area appeared to be in safe and sanitary operating condition. There was sufficient napping equipment (cribs and cots) available that meet requirements. A current menu was posted at the entry of the classroom. Food prep areas are clean. Food is properly stored and refrigerated as needed. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition and contained rubber cushioning under climbing structure. There were no
(Continued on LIC 809-C)
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: CHICO COMMUNITY DAY CARE INFANT/TODDLER PROGRAM
FACILITY NUMBER: 041370397
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
08/09/2019
Section Cited

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The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. This requirement was not met as evidenced by: based upon the
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licensee did not ensure that 4 infants contained updated accurate information in the Needs and Services Plan. This poses a potential risk to children in care. Civil penalties were assessed.
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Type B
08/09/2019
Section Cited

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Any proposed changes in the plan of operation that affect services to children shall be subject to departmental approval prior to implementation and shall be reported as specified in Section
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101212. This requirement was not met as evidenced by: based upon licensee failed to ensure that a general plan for administering nebulizers (IMS) is documented in the facility file.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:
DATE: 07/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/09/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: CHICO COMMUNITY DAY CARE INFANT/TODDLER PROGRAM
FACILITY NUMBER: 041370397
VISIT DATE: 07/09/2019
NARRATIVE
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(Continued from LIC 809)
bodies of water observed. The acting director stated no weapons are stored on site and none were observed. During today's inspection, infant/toddler staffing ratios were being met and 7 children were being directly supervised in the infant room by 3 staff at 1:15 PM during nap time and 7 children were being supervised in the toddler room by 3 staff during nap time at 1:45 PM. At least one staff member present possessed current CPR and First Aid certifications which expire on 10/7/20. Full signatures were observed on sign/in, sign-out sheets. 14 children’s records were reviewed at 2:30 PM and contained identification forms with authorized representative information, medical assessments, infant feeding plans and 4 out of 7 children were without updated Infant Needs and Services Plans. Six staff records were reviewed at 3:10 PM and contained documentation of education and training and health screenings as required. This facility is providing Incidental Medical Services – IMS, but does not have an IMS plan in place. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the acting director. 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.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
LIC809 (FAS) - (06/04)
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