065406934-4-26-2023-13-CC-LCHZ-CR9TWP-20230426150553

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 065406934
Report Date: 04/26/2023
Date Signed: 04/26/2023 03:05:57 PM

Document Has Been Signed on 04/26/2023 03:05 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:	COLUSA PRESCHOOL LEARNING CENTER A & B		FACILITY NUMBER:	065406934
ADMINISTRATOR:	MARKSS, VICKI		FACILITY TYPE:	850
ADDRESS:	723 6TH STREET		TELEPHONE:	(530) 458-4458
CITY:	COLUSA	STATE: CA	ZIP CODE:	95932
CAPACITY:	48	CENSUS: 14	DATE:	04/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Angela Padilla		TIME COMPLETED:	03:10 PM

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On 4/26/2023 at 12:30pm, a Required 1-Year inspection was made to the facility by Licensing Program Analyst (LPA), Laura Chavez. This program is operated by a public agency and a Title 5 funded program. Classroom A operates 8:00am-11:30am, Monday-Friday, Classroom B operates 7:30am-4:00pm, Monday–Friday. The facility was toured at 12:40pm inside and outside and the floor and yard plan submitted by the licensee were verified. One teacher and two associate teachers were supervising 14 children, and operating within the licensed capacity and ratio requirements. There are no pools or bodies of water on the premises. The outdoor activity space was cushioned with rubber cushioning material and free of hazards.

Five (5) children's records were reviewed at 1:24pm. Four (4) staff records were reviewed at 2:10pm.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding 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: http://www.ada.gov/childqanda.htm.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

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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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 PRESCHOOL LEARNING CENTER A & B	FACILITY NUMBER: 065406934
	VISIT DATE: 04/26/2023

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There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Education Program Supervisor Angela Padilla.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC809 (FAS) - (06/04)

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