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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585402351
Report Date: 01/06/2023
Date Signed: 01/06/2023 12:26:17 PM


Document Has Been Signed on 01/06/2023 12:26 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:COVILLAUD PRESCHOOLFACILITY NUMBER:
585402351
ADMINISTRATOR:CRITCHFIELD, JOLIEFACILITY TYPE:
850
ADDRESS:610 8TH STREETTELEPHONE:
(530) 741-6120
CITY:MARYSVILLESTATE: CAZIP CODE:
95901
CAPACITY:44CENSUS: 14DATE:
01/06/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jackie Midthun TIME COMPLETED:
12:30 PM
NARRATIVE
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On 1/6/2023 at 12:00 PM, Licensing Program Analyst (LPA) J. Helton made a case management inspection and met with facility representative Jackie MIdthun . The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5.5 ppb or greater) of lead in the water:

Playground drinking Faucet C tested at 19.26

The faucet was covered until corrective actions were completed, water was shut off to that faucet. Staff and children have water available inside the classroom, and water is provided when outside. Parents were notified of lead results. Marysville Unified School District Child Development Program maintenance will be removing the faucet.


The following deficiency is being cited (see LIC 809D).
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 Jackie Midhun
Copy of report and appeal rights were provided. .
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie HeltonTELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:
DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2023
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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Document Has Been Signed on 01/06/2023 12:26 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: COVILLAUD PRESCHOOL
FACILITY NUMBER: 585402351

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2023
Section Cited

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101700.3(b)(1) California Lead Action Level at Child Care Centers - A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
This requirement was not met as evidenced by:
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The licensee has made the faucets temporarily inaccessible by shutting off water source and covering the faucet.
The licensee agrees to permanently remove the faucet. Photos will be sent by 1/20/23.

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Based on record review, the facility had 1 faucet(s) with lead test results at or exceeding 5.5 ppb of lead in the water. This is a potential health and safety risk to children 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: Jackie HeltonTELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:
DATE: 01/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2023
LIC809 (FAS) - (06/04)
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