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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115400726
Report Date: 09/11/2024
Date Signed: 09/11/2024 12:00:01 PM


Document Has Been Signed on 09/11/2024 12:00 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:CHAPMAN STREET HEAD START A-B-CFACILITY NUMBER:
115400726
ADMINISTRATOR:SILVIA C/KINKLE S/FRIAS AFACILITY TYPE:
850
ADDRESS:124 E. CHAPMAN STREETTELEPHONE:
(530) 865-1143
CITY:ORLANDSTATE: CAZIP CODE:
95963
CAPACITY:60CENSUS: DATE:
09/11/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Wendi CallanTIME COMPLETED:
12:10 PM
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An unannounced case management inspection was conducted today at 10:30 am by Licensing Program Analyst (LPA), Tammy Dutra. LPA met with facility representative Wendi Callen. In response to an Unusual Incident Report received by the Department on 9/5/24. Facility stated a child was left unsupervised on the playground for 2-3 minutes . Child was immediately noticed to be absent and teacher found the child sitting at the picnic table outside..

LPA interviewed S1-S4 on 9/11/24 and staff stated that on 9/5/24 at approximately 11:30am C1 was left on the playground unsupervised for approximately 1-2 minutes.

During today’s inspection, the facility was toured , 18 children were in care
and no Title 22 violations were observed.

Due to insufficient information at this time, further investigation is needed. LPA Tammy Dutra received C1's parents contact information and will conduct an interview with a bilingual LPA. All licensing reports are public information and must be made available upon request for at least three years.

Exit interview conducted and report was reviewed with the facility representative Wendi Callen. Appeal Rights were provided. 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.

SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Tammy DutraTELEPHONE: (530) 806-3471
LICENSING EVALUATOR SIGNATURE:
DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/11/2024
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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