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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115405947
Report Date: 10/14/2019
Date Signed: 10/14/2019 01:29:15 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: 19DATE:
10/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Director Janice AisenbreyTIME COMPLETED:
01:35 PM
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An inspection was made to the facility by Licensing Program Analyst (LPA), David Wilson. The facility file was reviewed prior to this inspection on 10/10/2019. This program is operated by public agency/Head Start and is a Title 5 funded program. Operating hours are for clients are 8:15am-2:15pm, Mon-Fri. 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. Director stated there are no poisons stored in the areas of this child care facility and none were observed. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces appeared clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children’s bathrooms appeared in safe and sanitary condition. A current menu was posted. Food prep areas are clean. Food is properly stored and free of contamination. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition. There is adequate cushioning underneath climbing structures and/or play equipment sufficient to absorb falls. There were no bodies of water observed. The director 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 capacity. At least one staff member present possessed current CPR and First Aid certifications. Four children’s records were reviewed and contained identification forms with authorized representative information, as well as medical assessments. Three staff records were reviewed and are in substantial compliance. The sign in/out procedure was reviewed and in compliance. This facility is providing Incidental Medical Services – IMS, however currently no children enrolled require IMS. 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: www.ada.gov/childqanda.htmThis report was reviewed and discussed with the director. 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: 10/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2019
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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