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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 041370473
Report Date: 01/04/2023
Date Signed: 01/04/2023 08:43:42 AM


Document Has Been Signed on 01/04/2023 08:43 AM - 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:CHICO CHRISTIAN PRESCHOOLFACILITY NUMBER:
041370473
ADMINISTRATOR:WANINK, TAMARAFACILITY TYPE:
850
ADDRESS:2801 NOTRE DAME BLVD.TELEPHONE:
(530) 879-8988
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:118CENSUS: 30DATE:
01/04/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Tamara WaninkTIME COMPLETED:
08:50 AM
NARRATIVE
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An unannounced Case Management visit was conducted at the facility by Licensing Program Analyst (LPA) J. Helton on January 4, 2023 at 8:15 AM in response to an Unusual Incident Report received December 27, 2022. LPA met with Director Tamara Wanink. According to the incident report and interviews conducted, sometime between 8:15 AM and 8:30 AM on December 27th a 2 year old child (C1) left the classroom and was discovered standing outside the front door by the window by a incoming parent (A1). Interviews with staff and C1’s parent (P1) support that C1 went unnoticed by Teacher (T1) until he was returned to the classroom by A1. Between the time of 8:15 AM and 8:30 AM T1 was supervising 6 children.

Based on available information, it has been determined that T1 was not properly supervising the children when the incident occurred on December 27, 2022.

The following violation of the California Code of Regulations, Title 22; Division 12, was observed: see LIC809D

Reports citing Type A violations are to be provided to parents/guardians of children currently enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parent/guardians must sign Form LIC9224, and it is to be kept in each child’s file.

Exit interview was conducted with Tamara Wanink.

Copy of report, appeal rights and notice of site visit were provided during the visit. Notice of site visit must be posted for 30 days. Failure to comply with posting requirements shall results in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie HeltonTELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023
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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Document Has Been Signed on 04/21/2023 09:27 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 04/20/2023 03:25 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926


FACILITY NAME: CHICO CHRISTIAN PRESCHOOL
FACILITY NUMBER: 041370473

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/04/2023
Section Cited

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Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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T1 was dismissed immediately. Camera’s were installed at the front door of the preschool with monitors in the Main classrooms for monitoring of the front door. Alarms for all doors in the preschool were installed by January 6, 2023
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 This requirement was not met as evidence by:

Unusual incident report and interviews, licensee did not comply with the above requirement which poses an immediate health, safety, or personal rights risk to children in care.
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Additional meetings and trainings were conducted to review protocols and procedures to ensure the safety of children.

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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: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie HeltonTELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023
LIC809 (FAS) - (06/04)
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