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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455403574
Report Date: 12/09/2022
Date Signed: 12/13/2022 06:35:14 AM


Document Has Been Signed on 12/13/2022 06:35 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:SHASTA HEAD START - SHASTA COLLEGE INFANT/TODDLERFACILITY NUMBER:
455403574
ADMINISTRATOR:OILER, HILARYFACILITY TYPE:
830
ADDRESS:19711 SHASTA COLLEGE DRIVETELEPHONE:
(530) 241-7951
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:32CENSUS: 8DATE:
12/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:AnLeigh Ann LemkeTIME COMPLETED:
10:00 AM
NARRATIVE
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On 12/09/22 at 8:30am, Licensing Program Analyst (LPA) N. Cunningham made a case management inspection and met with AnLeigh Ann Lemke. The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5.5 ppb or greater) of lead in the water:

Faucet “K” – kitchen faucet, 9.0ppb

The facility has made the faucet inaccessible by taping a bag over the the kitchen faucet. The facility representative stated the facility plans to replace the faucet and retest. . Staff are able to use another faucet to provide water for children.

The following deficiency is being cited (see LIC 809D). 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.

Exit interview conducted and report was reviewed with facility representative, AnLeigh Ann Lemke.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2022
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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Document Has Been Signed on 12/13/2022 06:35 AM - It Cannot Be Edited

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: SHASTA HEAD START - SHASTA COLLEGE INFANT/TODDLER
FACILITY NUMBER: 455403574

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/21/2022
Section Cited

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California Lead Action Level at Child Care Centers - A result with values
of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement
was not met as evidenced by:
Based on record review, the facility had one faucet(s) with lead test results at or
exceeding 5.5 ppb of lead in the water. This is a potential health and safety risk to
children in care.
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The site supervisor made the faucet temporarily inaccessible by taping a bag on the playground drinking fountain. Facility management plans to replace the faucet and retest. Photos of the replaced faucet will be sent by 12/21/22.
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nicolette.cunningham@dss.ca.gov
Fax: 530-521-5934

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2022
LIC809 (FAS) - (06/04)
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