525403199-1-7-2022-13-CC-CWIT-CAFP8S-20220107100600

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 525403199
Report Date: 01/07/2022
Date Signed: 01/07/2022 10:06:10 AM

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:	METTEER STATE PRESCHOOL		FACILITY NUMBER:	525403199
ADMINISTRATOR:	HAYTASINGH, SHARON		FACILITY TYPE:	850
ADDRESS:	695 KIMBALL ROAD		TELEPHONE:	(530) 529-5214
CITY:	RED BLUFF	STATE: CA	ZIP CODE:	96080
CAPACITY:	24	CENSUS: 13	DATE:	01/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Sharon Haytasingh		TIME COMPLETED:	10:15 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 1/7/22, at 8:45 am time, an annual inspection was made to the facility by Licensing Program Analyst (LPA), Wisehart and met with Sharon Haytasingh. The facility file was reviewed prior to this inspection. A review of the personnel report on 1/7/22 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. This is a Title 5 program operated by Tehama County Department of Education and is housed on the Metteer Elementary School grounds. Operating hours are 8:15am - 11:15am and 12:30pm - 3:30pm, Mon-Fri. The facility is closed in the summer. The facility was toured at 8:55 am time inside and outside and the floor and yard plan submitted by the licensee were verified. There are no pools or similar bodies of water. The Site Supervisor stated no firearms or weapons are stored on site and none were observed. The items which could pose a danger to children (such as disinfectants, cleaning solutions and medications) are inaccessible to children. Poisons are stored in a cabinet in janitors closest. The LPA observed at 9:05 am a canister of wasp and hornet killer on top of the cabinet (not locked). Though the LPA will note the item was inaccessible via a door and it was high up on the cabinet. The furniture and equipment are in good condition, free of hazards, and age appropriate. There are wood chips to provide cushioning underneath the climbing structure to absorb falls and the area was free of hazards. Toilets and sinks are in sanitary condition and operating properly. The facility floors were clean and safe. The kitchen/food preparation area is clean, and free of litter or rodents. Food is properly stored and free of contamination. Trash cans have tight fitting lids. Uncontaminated drinking water is provided both inside and outside via water bottles. The facility was free of flies, insects and rodents. The facility has a working carbon monoxide detector.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022

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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: METTEER STATE PRESCHOOL	FACILITY NUMBER: 525403199
	VISIT DATE: 01/07/2022

NARRATIVE

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During today's inspection, 3 staff records were reviewed at 9:15 am . Staffing ratios were being met and there were 13 preschool children being supervised by 3 teachers/aides. Children are not left without visual supervision at any time. The facility was operating within the licensed capacity. At least one staff member present during the visit (S1 & S2) possessed current CPR and First Aid certifications. The sign in/out sheet was reviewed, and representatives are using full signatures and recording the time. Staff are provided on-the-job training, including sanitation and universal health precautions. Staff have health screenings and immunization's on file, along with the required Mandated Reporter training. Children with symptoms of illness are not accepted, and children who become ill during the day are isolated in office with a mat provided. A weekly menu was posted by kitchen.

Ten children’s records were reviewed at 9:30 am and contained emergency identification forms and medical assessments.

The LPA provided copies of PIN 21-18 and 21-29 which covers current COVID guidance and face mask requirements.

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.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022

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: METTEER STATE PRESCHOOL	FACILITY NUMBER: 525403199
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/07/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/07/2022 Section Cited	1 2 3 4 5 6 7	Building and Grounds 101238(g)(1) - Storage areas for poisons shall be locked. This requirement was not met as evidenced by: Based on observation the LPA observed wasp and hornet killer spray unlocked but behind a closed door and high on the top of cabinet. This poses a potential health, safety or personal rights risk to persons in care.
	1 2 3 4 5 6 7
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	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 Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022

LIC809 (FAS) - (06/04)

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