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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 041370473
Report Date: 06/29/2023
Date Signed: 06/29/2023 02:55:47 PM


Document Has Been Signed on 06/29/2023 02:55 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
CCLD Regional Office, 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: 43DATE:
06/29/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:59 PM
MET WITH:Tamara WaninkTIME COMPLETED:
03:05 PM
NARRATIVE
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On 6/29/23 at 8:44am a visit was conducted by Licensing Program Analyst's (LPA) Mendez in response to an unusual incident that was self reported in a timely manner by Tamara Wanink, facility director. The incident occurred on 6/19/23 at 4:55pm-5:00pm. Community Care Licensing Division (CCLD) was notified within 24 hours and unusual incident report was sent in writing within the 7 days as required. Facility director reported child (C1) left the classroom during pick up and made it outside the doors of the facility.

LPA interviewed facility director Tamrara Wanink. Facility director stated that (C1) was following a family during pick, a family had came to pick up their child and C1 followed the family outside the facility outside the door and family noticed C1 was behind them and brought them back to S1 and S1 took child back to the classroom. It was estimated that the child was outside of the classroom about less than a minute. Facility director immediately notified parent (P1) during pick up.

The following violation of the California Code of Regulations, Tittle 22: Division 12 was observed: Lack of supervision resulting in a child wandering outside. see LIC 809D. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled should sign LIC 9224 form and to parents/guardians of children newly enrolled at the facility during the next 12 months.

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

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023
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 06/29/2023 02:55 PM - It Cannot Be Edited

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 CHRISTIAN PRESCHOOL
FACILITY NUMBER: 041370473

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/29/2023
Section Cited
CCR
101229(a)(1)

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(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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Facility Director will have someone at the front desk to watch at all times. Implemented staff training regarding supervision, will also utilize whiteboards with a head count on the doors. Facility Director will submit plan of correction to CCLD by 6/30/23
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This was not met as evidence by: based on interviews and record review, C1 was unsupervised and left the classroom and exited the building. This poses an immediate health, safety, or personal rights risk to persons in care.
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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: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023
LIC809 (FAS) - (06/04)
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