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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407504
Report Date: 10/25/2023
Date Signed: 10/25/2023 01:55:03 PM


Document Has Been Signed on 10/25/2023 01:55 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:CHICO CHILD DEVELOPMENT CENTER - PRESCHOOLFACILITY NUMBER:
045407504
ADMINISTRATOR:SEO, HYOKYUNG "HANNAH"FACILITY TYPE:
850
ADDRESS:850 PALMETTO AVENUETELEPHONE:
(530) 894-1778
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY:35CENSUS: 19DATE:
10/25/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:26 PM
MET WITH:Shelly Caperello, facility ownerTIME COMPLETED:
02:27 PM
NARRATIVE
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On 10/25/23 @ 12:26pm a visit was conducted by Licensing Program Analyst's (LPA's) E. Laird in response to an unusual incident that was self-reported in a timely manner by Shelly Caperello, facility owner. The incident occurred on 10/4/23 at approximately 1:45pm. 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 on 10/4/23 at approximately 1:45pm staff contacted police to report that a child (C1) had eloped from the outside play yard. When C1 eloped, a staff (S1) was supervising 4 children. S2 found C1 approximately 1 block away. Chico PD responded and a report was issued. Facility owner was unaware how long C1 was away from the facility but stated she was in the process of reviewing security cameras.
LPA E. Laird conducted an interview with facility owner Shelly Caperello at approximately 1:09pm who stated on 10/4/23 teacher (S1) was outside on the playground watching the children who were not napping. S1 was watching between 3-4 children. S1 was in the middle of counting children when they noticed C1 was not on the playground. S1 immediately started looking for C1 and asking other teachers if they knew where C1 was. A community member ended up calling the police because they saw a child walking down the road. S2 got in their car and started driving down the street and found C1 walking down the street towards Arbutus Ave. The police immediately pulled up as S2 found the child. Shelly stated she had been notified of the incident and was enroute to the facility when she saw S2, C1, and two Chico PD officers on the road near Arbutus Ave. Shelley stated she provided PD with identification and then took C1 back to the facility since she had a car seat in her vehicle. Shelley stated she immediately called C1's parent and began taking statements from staff.

The facility was toured inside and outside, and classroom roster was verified.

LPA E. Laird watched video footage from date of incident.

report continued on 809-C

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Erica LairdTELEPHONE: 530-895-5045
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023
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


Document Has Been Signed on 10/25/2023 01:55 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
CHICO-DAY CARE, 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: 10/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2023
Section Cited
CCR
1596.99(c)(3)

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Absence of supervision, including, but not limited to, a child left unattended, and supervision of a child by a person under 18 years of age.
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Facility immediately placed mesh over concrete wall to inhibit the ability to climb the wall. Facility held an all staff meeting to go over active supervision and safety protocols. Agenda and sign in form was provided to CCL on 10/25/23.
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This requirement was not met as evidence by: C1 eloped from the facility for approximately 5 minutes and was found down the street. This poses an immediate risk to the health and safety of children 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: Erica LairdTELEPHONE: 530-895-5045
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3


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 CHILD DEVELOPMENT CENTER - PRESCHOOL
FACILITY NUMBER: 045407504
VISIT DATE: 10/25/2023
NARRATIVE
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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.

An exit interview was conducted and appeal rights provided.

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: Erica LairdTELEPHONE: 530-895-5045
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3