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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475403750
Report Date: 11/14/2019
Date Signed: 11/22/2019 03:30:33 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:BIG SPRINGS STATE PRESCHOOLFACILITY NUMBER:
475403750
ADMINISTRATOR:COLLIER, TERESAFACILITY TYPE:
850
ADDRESS:7405 HIGHWAY A-12TELEPHONE:
(530) 459-3981
CITY:MONTAGUESTATE: CAZIP CODE:
96064
CAPACITY:24CENSUS: 15DATE:
11/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Kattie MowreyTIME COMPLETED:
04:00 PM
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An inspection was made to the facility by Licensing Program Analyst (LPA) Snow. The facility file was reviewed prior to this inspection. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances through Big Springs Elementary School District. Operating hours are year-round, Monday through Friday, 7:30am to 5:30pm. The facility, which is a combination center with separate infant license, was toured inside and outside and the floor and yard plan were verified. Eight school-age children were present as part of the preschool census and were using the elementary school playground separately from the preschool children; supervision was provided. The items which could pose a danger to children (detergents, cleaning compounds and medications) were inaccessible; locked in the janitors closet. The toys, floors, desks and other equipment and surfaces appeared clean, safe, and in good condition. There was uncontaminated drinking water available to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary condition. Food is provided at the center. Food preparation areas were clean and food was properly stored, protected from contamination, and refrigerated as needed. Garbage cans containing solid waste had tight-fitting lids. There was a working carbon monoxide detector in the facility. The playground and playground equipment appeared in safe condition and free of hazards. There was rubber chip cushioning underneath climbing structures and/or play equipment sufficient to absorb falls.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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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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: BIG SPRINGS STATE PRESCHOOL
FACILITY NUMBER: 475403750
VISIT DATE: 11/14/2019
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There were no bodies of water observed. The licensee stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met and children were being properly supervised. The facility was operating within the licensed capacity. The sign in/out procedure was reviewed and in compliance. Children’s records were reviewed and contained signed admission agreements. Staff records were reviewed and contained documentation of education and training, as required. At least one staff member present possessed current CPR and First Aid certifications. Staff has completed Mandated Reporter Training.
This facility is not providing Incidental Medical Services – IMS, though a plan of operation is 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 licensee. 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.
No violations cited
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
LIC809 (FAS) - (06/04)
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