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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115405947
Report Date: 11/13/2019
Date Signed: 11/13/2019 12:56:45 PM

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:VILLA AVENUE HEAD STARTFACILITY NUMBER:
115405947
ADMINISTRATOR:DUNTSCH, AMANDAFACILITY TYPE:
850
ADDRESS:451 S. VILLA AVENUETELEPHONE:
(530) 934-6596
CITY:WILLOWSSTATE: CAZIP CODE:
95988
CAPACITY:20CENSUS: DATE:
11/13/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Director/Teacher Janice AisenbreyTIME COMPLETED:
01:10 PM
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On 11/13/2019 at 10:45am Licensing Program Analyst (LPA) David Wilson arrived at this facility to continue a Case Management (CM) inspection due to this agencies timely self reported written Unusual Incident Report (UIR). The incident date of UIR was 10/25/2019. This UIR was in regards to an alleged inappropriate child to child interaction. LPA's first inspection of this CM UIR inspection was on 11/01/2019 (see LIC809 11/01/2019). The purpose of the CM is to determine if adequate care and supervision is occurring at this facility.

During the 11/01/2019 unnanounced inspection, LPA toured the facility, interviewed staff and reviewed and obtained applicable records. On 11/01/2019, there were no children in attendance due to a staff administrative day.

On 11/05/2019 for this CM, LPA conducted a telephone interview with a confidential witness.

During this 11/13/2019 unannounced inspection, LPA toured the facility, interviewed four children and observed the classroom and outdoor play area. During this date's inspection, staffing ratios were being met and there were eighteen children being supervised by five teachers/aides. The facility was operating within the licensed capacity.

LPA's observations, interviews and documentary evidence reviews conducted at this facility during both of the above mentioned inspections found no evidence or corroboration of any lack of constant visual supervision. All staff and child interviews found that children at this facility are being safely supervised and adequately cared for.
This report was reviewed and discussed with Director Aisenbrey. 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: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David WilsonTELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
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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