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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045405610
Report Date: 09/10/2019
Date Signed: 09/10/2019 02:00:30 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:CASTLES PRESCHOOLFACILITY NUMBER:
045405610
ADMINISTRATOR:MOCK, STEPHANIEFACILITY TYPE:
850
ADDRESS:55 JAN CT.TELEPHONE:
(530) 892-2273
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:64CENSUS: 40DATE:
09/10/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Stephanie MockTIME COMPLETED:
02:05 PM
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A case management inspection was conducted at the facility by Licensing Program Analyst (LPA) Sandy Husband for the purpose of verifying that S1 is not currently working at the facility nor located on the premises. A signed Confirmation of Removal letter (LIC 300B) dated 8/26/19 was sent to the owner of the facility because S1 was denied a background clearance. The director (S2) and another staff member (S3) confirmed during the inspection that S1 has never worked at the facility and the director stated that she did attempt to have S1 obtain fingerprint clearance to possibly hire the individual on 3/28/19, however immediately ceased pursuing S1 after receiving a denial letter. During today's inspection, S1 was not present. LPA Husband interviewed a staff person (S3) at 1:25 PM and the director (S2) at 1:40 PM in which both stated S1 has never worked at the facility.

This report was reviewed and discussed with the 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.

There were no Title 22 deficiencies issued during today's inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019
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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