065403221-10-23-2019-13-CC-LCHZ-BH8PHH-20191023111958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 065403221
Report Date: 10/23/2019
Date Signed: 10/23/2019 11:20:06 AM

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:	COLUSA HEAD START		FACILITY NUMBER:	065403221
ADMINISTRATOR:	MARKSS, VICKI		FACILITY TYPE:	850
ADDRESS:	728 5TH STREET		TELEPHONE:	(530) 458-0340
CITY:	COLUSA	STATE: CA	ZIP CODE:	95932
CAPACITY:	24	CENSUS: 16	DATE:	10/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Tammy Arce		TIME COMPLETED:	11:25 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An inspection was made to the facility by LPA, Laura Chavez. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. This program is operated by Head Start and a Title 5 funded program. Operating hours are 8:00am - 2:00pm, Monday-Friday. The facility was toured inside and outside and the floor and yard plan were verified. The items which could pose a danger to children (detergents, cleaning compounds and medications) were inaccessible to children. Poisons are locked in a cabinet located in the staff bathroom. The toys, floors, desks and other equipment and surfaces appeared clean, toxic free, safe and in good condition. Drinking fountains provide uncontaminated drinking water to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary condition. Food prep areas are clean. Food is properly stored and refrigerated as needed. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. There is a working smoke detector, fire extinguisher, and carbon monoxide detector in the facility. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition. There is rubber cushioning underneath climbing structures and/or play equipment sufficient to absorb falls. There were no bodies of water observed. Teacher Tammy Arce stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met and children were being properly supervised. The facility was operating within the licensed Report continued: See LIC 809-C

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

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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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: COLUSA HEAD START	FACILITY NUMBER: 065403221
	VISIT DATE: 10/23/2019

NARRATIVE

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capacity. At least one staff member present possessed current CPR and First Aid certifications. The sign-in/sign-out procedure was reviewed at 10:20am and found in compliance. Children’s records containing admission agreements stored at a different location will be reviewed at a later time. Staff records previously reviewed contained documentation of education and training, as required. This facility is providing Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed the child's records at 11:05am, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding the American Disabilities Act (ADA) was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: www.ada.gov/childqanda.htm. This report was reviewed and discussed with Teacher Tammy Arce. 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 cited during today's inspection.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019

LIC809 (FAS) - (06/04)

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