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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407945
Report Date: 09/09/2021
Date Signed: 09/20/2021 03:02:40 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:LITTLE HILL PRESCHOOLFACILITY NUMBER:
455407945
ADMINISTRATOR:WHARTON, MICHAELFACILITY TYPE:
850
ADDRESS:29771 TERRY MILL ROADTELEPHONE:
(530) 337-1114
CITY:ROUND MOUNTAINSTATE: CAZIP CODE:
96084
CAPACITY:15CENSUS: 0DATE:
09/09/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Malinda MartinTIME COMPLETED:
02:30 PM
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The facility pre-licensing inspection was conducted on 7/30/21 at 10:00 AM by Licensing Program Analyst (LPA), Snow who met with applicant, Malinda Martin. Brandy Groves and Linda Sellers were also present. The Department received an application to change locations on 8/25/21. The fire clearance for 15 children was received. The facility was toured inside each classroom and outside. The center will operate from 8:30 AM to Noon, M-F. The preschool facility consists of 1 classroom located in a detached building on a school grounds. The school is not currently operating. The facility has the required toilet and sing for the children plus a separate staff bathroom. The classroom and yard square footage was sufficient for the requested capacity. The facility is a public entity and background clearance will be a condition of employment.

Required postings (Parents Personal Rights, Emergency Disaster Plan, Earthquake Preparedness Checklist, Menu, etc.) listed on Form LIC 311A will be posted. The applicant was advised that all staff are required to have a criminal background clearance on file with Community Care Licensing (CCL). The applicant is aware of the immediate $100 per day civil penalty for anyone providing care or supervision without a criminal record clearance.
Children will use the fenced outdoor play area. Sign-In/Out procedures were reviewed. The applicant/director understands that if a manual Sign-In/Out procedure is used, full legal signatures are required. Cubbies will be available for children to use. There are working smoke detectors, a working carbon monoxide detector and charged fire extinguisher in the facility rated at least 2A10BC. All Exits are marked. Poisons and toxins are key locked in the bathroom.

continued....
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
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: LITTLE HILL PRESCHOOL
FACILITY NUMBER: 455407945
VISIT DATE: 09/09/2021
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 There is uncontaminated drinking water available to children both indoors and outdoors. The isolation area for a sick child will be established in the the Director's office and a cot will be provided. Food will be provided, and a current menu shall be posted.
The classrooms will contain age appropriate toys and activities available for children. There are enough cubbies present for the licensed capacity. There is bark material underneath the play structures sufficient to absorb falls. There are no bodies of water located on the property and none are to be added without prior notification and approval of the licensing agency. 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: http://www.ada.gov/childqanda.htm. This report was reviewed and discussed with the applicant/director. All licensing reports are public information and must be made available upon request for at least three years. Based on the facility measurements, capacity will be granted for 192 children.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department



The physical plant is approved for licensure effective 9/13/21
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
LIC809 (FAS) - (06/04)
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