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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407504
Report Date: 02/22/2022
Date Signed: 02/22/2022 10:31:16 AM


Document Has Been Signed on 02/22/2022 10:31 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:CHICO CHILD DEVELOPMENT CENTER - PRESCHOOLFACILITY NUMBER:
045407504
ADMINISTRATOR:WIECK, CHRISTINAFACILITY TYPE:
850
ADDRESS:850 PALMETTO AVENUETELEPHONE:
(530) 894-1778
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY:35CENSUS: 20DATE:
02/22/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Christina Wieck TIME COMPLETED:
10:45 AM
NARRATIVE
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On 2/22/22 at 10:05 am, Licensing Program Analyst's (LPA) Carrie Wisehart and Jackie Helton conducted a case management visit with Director, Christina Wieck to discuss the handling of medications at the day care. The LPA provided the facility with a Centrally Stored Medication and Destruction Record LIC 622 for accountability with medications. The licensee was interviewed on 2/4/22 at 9:38 am and acknowledged that C1’s parent had provided a medication in a plastic baggie and not in the original container. Though the facility did have on file a Parent Consent for Administration of Medications and Medication Chart which documented the parents consent to use the medication and the dates and times when the medication was given, C1’s file did not have a record of the strength of the medication; it’s expiration date; the prescribing physician information or the instructions on use.

The licensee provided staff training during a staff meeting on 2/18/22 which included some medication training and staff watched some child care videos. Director agrees to training all staff who handle medications on the Centrally Stored Medications and Destruction Record; staff are scheduled to watch child care medication videos and the Director agrees to send in a updated medication policy including steps taken when medication is brought to the facility to ensure accountability and proper handling. Additional training and documents will be provided to CCL by March 1, 2022.

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



Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2022
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 02/22/2022 10:31 AM - 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 CHILD DEVELOPMENT CENTER - PRESCHOOL
FACILITY NUMBER: 045407504

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/22/2022
Section Cited

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Child's Records 101221(b)(10) Record of current medications, including the name of the prescribing physician, and instructions, if any, regarding control and custody of medications. This requirement was not met as evidenced by:
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 Based on interviews and record review the licensee failed to ensure that the facility had the proper information for C1’s medication prior to issuing it to the child since it was not in original container.
This poses a potential health, safety or personal rights risk to persons in care.
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Director agrees to send in a updated medication policy including steps taken when medication is brought to the facility to ensure accountability and proper handling. Additional training and documents will be provided to CCL by March 1, 2022.

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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: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2022
LIC809 (FAS) - (06/04)
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