515405080-9-15-2022-13-CC-JHEN-CJANWZ-20220915105022

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 515405080
Report Date: 09/15/2022
Date Signed: 09/15/2022 10:50:29 AM

Document Has Been Signed on 09/15/2022 10:50 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	BROWNS ELEMENTARY PRESCHOOL		FACILITY NUMBER:	515405080
ADMINISTRATOR:	COLBRIDGE, KERRIE		FACILITY TYPE:	850
ADDRESS:	1248 PACIFIC AVENUE		TELEPHONE:	(530) 633-2523
CITY:	RIO OSO	STATE: CA	ZIP CODE:	95674
CAPACITY:	30	CENSUS: 11	DATE:	09/15/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Jill Dunfee		TIME COMPLETED:	11:00 AM

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On 9/15/2022 at 8:40 AM, an annual inspection was made to the facility by Licensing Program Analyst (LPA), J. Helton. This program is operated by public agency and a Title 5 funded program. Operation hours are 8:00 AM-3:00 PM, Monday–Friday. The facility was toured at 10:00 AM inside and outside and the floor and yard plan submitted by the licensee were verified. Facility operates in preschool classroom 1. The Lead Teacher Jill Dunfee and assistant teacher Mary Hanson were supervising 11 children, and operating within the licensed capacity and ratio requirements. There are no pools or bodies of water on the premises .The playground equipment was clean and safe with rubber chips underneath for cushion. 6 children's records were reviewed at 9:00 AM. 2 staff records were reviewed at 9:28 AM.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

Continued on LIC809C

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie Helton	TELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: BROWNS ELEMENTARY PRESCHOOL	FACILITY NUMBER: 515405080
	VISIT DATE: 09/15/2022

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There were no deficiencies cited during today’s inspection.

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.

Exit interview conducted and report was reviewed with the facility representative Jill Dunfee.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie Helton	TELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

LIC809 (FAS) - (06/04)

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