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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 181372519
Report Date: 12/16/2019
Date Signed: 12/16/2019 12:18:32 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:SUSANVILLE HEAD STARTFACILITY NUMBER:
181372519
ADMINISTRATOR:SWAIN, NICOLETTEFACILITY TYPE:
850
ADDRESS:195 RUSSELL AVETELEPHONE:
(530) 257-2343
CITY:SUSANVILLESTATE: CAZIP CODE:
96130
CAPACITY:28CENSUS: 19DATE:
12/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nicolette SwainTIME COMPLETED:
12:30 PM
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An inspection was made to the facility by Licensing Program Analyst Emilia Grisak. The facility file was reviewed prior to this inspection. A review of the personnel report on 12/16/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. This program is operated by Head Start and is a combination center with a toddler component. Operating hours are 7:45am to 4pm, Mon-Fri. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces were clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children’s bathrooms were in safe and sanitary condition. 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 were in safe condition. There is wood chip cushioning underneath climbing structures and/or play equipment to absorb falls. The Administrator stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met and there were 19 children being supervised by seven teachers/aides. The facility was operating within the licensed capacity. All staff members present during the visit possessed current CPR and First Aid certifications. Five children’s records were reviewed at 11:50am, and contained identification forms with authorized representative information, as well as medical assessments. Five staff records were reviewed at 11:40am, and contained health screening forms. The sign in/out procedure was reviewed and in compliance. This facility is not currently providing Incidental Medical Services (IMS) to children, but has a plan on file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the Administrator. 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: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2019
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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