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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475403750
Report Date: 02/16/2024
Date Signed: 02/16/2024 02:35:01 PM


Document Has Been Signed on 02/16/2024 02:35 PM - 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: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: 7DATE:
02/16/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Teresa Collier, DirectorTIME COMPLETED:
02:30 PM
NARRATIVE
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On 2/16/24 at 2:00pm, Licensing Program Analyst (LPA), N. Cunningham made a case management inspection and met with Teresa Collier. The inspection was made in response to water lead testing samples not being submitted by January 30, 2023.

The facility representative stated the facility does not use water from the tap. During today's inspection LPA observed children drinking bottled water.

The following deficiency is being cited (see LIC 809D). Exit interview conducted and report was reviewed with the facility representative, Teresa Collier. 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.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 02/16/2024 02:35 PM - 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: BIG SPRINGS STATE PRESCHOOL
FACILITY NUMBER: 475403750

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/29/2024
Section Cited
HSC
1596.76(a)(1)

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(a)(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contaminiation levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the intial test.
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The licensee stated children only drink from bottled water. The licensee stated she will submit an attestation form to request a waiver from testing the water.
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Based on record review, the licensee did not comply with the section cited above in one out of one lead water test was not completed by the due date which poses a potential health, safety or personal rights risk to persons in care.
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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: 02/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2024
LIC809 (FAS) - (06/04)
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