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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455404766
Report Date: 03/16/2020
Date Signed: 03/18/2020 11:30:16 AM

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:SHASTA HEAD START - OAKVIEW CENTERFACILITY NUMBER:
455404766
ADMINISTRATOR:EPP, MICHELLEFACILITY TYPE:
850
ADDRESS:1156 DEL MONTE ST.TELEPHONE:
(530) 722-9114
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:64CENSUS: 0DATE:
03/16/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Michelle Epp - Site SupervisorTIME COMPLETED:
08:55 AM
NARRATIVE
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A Case Management visit was conducted by Licensing Program Analyst, Wisehart who met with Site Supervisor, Michelle Epp on 3/16/2020 at 8:00 am. The visit was in relation to a self reported incident which occurred on 3/9/2020 where two children (C1/C2) were left alone for approximately 5 minutes after children had transitioned from outdoors to indoors. Staff (S1) miscounted the total of 13 children when she counted 11 children coming in and then by counting two children who were already inside the classroom. Once 2 children were discovered missing they were located on the playground under a table playing hide and seek and brought inside the building The facility conducted proper notification and reporting requirements.

Immediately after the incident, the center added extra steps to the head count procedures, revisited training and supervision and the involved staff was disciplined.

The following violation(s) of the California Code of Regulations, Title 22, Division 12, were observed: see LIC 809 D., This report was reviewed and discussed with the Site Supervisor. A civil penalty was assessed for $500. The LIC 9224 was provided and discussed with the licensee. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days. All licensing reports are public information and must be made available upon request for at least three years.

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: SHASTA HEAD START - OAKVIEW CENTER
FACILITY NUMBER: 455404766
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/17/2020
Section Cited

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Absence of Supervision 1596.99(c)(3) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation, for any of the following serious violations: Absence of supervision, including, but not limited to, a child left unattended, and supervision of a child by a person under 18 years of age.
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This requirement was not met as evidenced by: Based on record review and interviews child (C1/C2) were unsupervised for approximately 5 minutes in the outdoor play area. An immediate civil penalty of $500 applies.
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Completed Training confirmation will be sent by 4/17/2020 and written Plan to be received by 3/17/2020.

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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: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2020
LIC809 (FAS) - (06/04)
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