<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515404615
Report Date: 11/03/2023
Date Signed: 11/06/2023 11:07:48 AM


Document Has Been Signed on 11/06/2023 11:07 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:CREATIVE KIDS PRESCHOOL & DAYCAREFACILITY NUMBER:
515404615
ADMINISTRATOR:SHIDELER, DONNAFACILITY TYPE:
850
ADDRESS:1060 LINCOLN ROAD, SUITE FTELEPHONE:
(530) 751-9217
CITY:YUBA CITYSTATE: CAZIP CODE:
95991
CAPACITY:35CENSUS: 30DATE:
11/03/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Michelle LightleTIME COMPLETED:
10:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/3/2023 at 9:15am, a case management inspection was made to the facility by Licensing Program Analyst (LPA), Laura Chavez. During a tour of the facility, LPA did not observe the Notice of Site Visit posted as required. The Notice of Site Visit was provided during LPA's previous inspection to the facility on 10/23/2023.

The following deficiencies were cited: HSC 1596.817 - Site visits; posting of notices; contents; citations for violations; duration of posting; civil penalties, (see LIC 809D):



An exit interview was conducted and report was reviewed with Owner/Executive Director Michelle Lightle.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
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 11/06/2023 11:07 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926


FACILITY NAME: CREATIVE KIDS PRESCHOOL & DAYCARE
FACILITY NUMBER: 515404615

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/01/2023
Section Cited
HSC
1596.817(a)(b)(1)

1
2
3
4
5
6
7
Site visits; posting of notices; contents; citations for violations; When the department conducts a site visit of a licensed child day care facility, the Notice of Site Visit shall be posted immediately adjacent to, the interior side of the main door into the facility and/or adjacent to the postings required pursuant to
1
2
3
4
5
6
7
The Owner/Executive Director agrees to provide a written statement on how she will ensure that Notice of Site Vists will remian posted for 30 consecutive daysthe hours when clients are present.
8
9
10
11
12
13
14
Section 1596.8595.

This requirement is not met as evidenced by: LPA did not observe the Notice of Site provided from LPA's previous inspection made to the facility on 10/23/2023.
8
9
10
11
12
13
14
During today's inspection Owner/Executive Director posted the Notice of Site Visits on a bulletin board located in the lobby.

The plan of correction shall be submitted to CCLD on or before 12/01/2023.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Laura ChavezTELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2