<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 121374840
Report Date: 06/19/2024
Date Signed: 06/26/2024 09:16:47 AM

Document Has Been Signed on 06/26/2024 09:16 AM - 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-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:HEAD START - JEFFERSONFACILITY NUMBER:
121374840
ADMINISTRATOR/
DIRECTOR:		ROBERTS, DONNAFACILITY TYPE:
850
ADDRESS:914 B STREETTELEPHONE:
(707) 441-9020
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
06/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Marcella ChaffeeTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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
LPA Noah Wheeler made this report in error at the wrong facility. This amendment was to correct that error and remove the incident report from the this facility.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Noah Wheeler
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: HEAD START - JEFFERSON
FACILITY NUMBER: 121374840
VISIT DATE: 06/19/2024
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
26
27
28
29
30
31
32
Four staff (S1-S4) were interviewed on 06/19/2024 and stated CD (S2) did not physically restrain child in any manner.

During today’s inspection, the facility was toured, one child’s file was reviewed. LPA observed the area in which the incident occurred was not easily visible as there are bookshelves all around the nook staff call “the library.” Teachers and staff have been advised to not sit on the floor with children, and in the library, there is a bench that they sit on when reading to children that is very low to the ground and staff stretch their legs out to be able to sit on it. During the incident, CD was sitting on bench and was being kicked on the side and under her legs and was not physically restraining the child from kicking but turned her body away from child and asked child to stop repeatedly before removing herself and the other child from the incident. Three staff interviewed corroborated the timeline of events that CD stated.

Based on interviews, records review, and facility inspection, it was determined that there were no violations and staff acted in accordance with California Code of Regulations, Title 22.

There were no deficiencies cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Noah Wheeler
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2