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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045404371
Report Date: 11/07/2024
Date Signed: 11/07/2024 10:18:57 AM

Document Has Been Signed on 11/07/2024 10:18 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:SMART START PRESCHOOLFACILITY NUMBER:
045404371
ADMINISTRATOR/
DIRECTOR:		THOMAS, JULIEFACILITY TYPE:
850
ADDRESS:1565 EAST AVENUETELEPHONE:
(530) 897-6278
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: 106TOTAL ENROLLED CHILDREN: 106CENSUS: 54DATE:
11/07/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:46 AM
MET WITH:Ann NelsonTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 11/07/24 at 9:45am, LPA Elizabeth Friese conducted a case management inspection and met with Administrator Ann Nelson. It was determined by record review that an incident causing injury to a child requiring medical treatment on 9/13/24 had not been reported to the department within regulation timelines.
The following deficiency was cited this date: injury to a child requiring medical attention not reported via phone call by next business day or written report w/in 7 days. (see 809D)
Report reviewed with Administrator Ann Nelson, appeal rights provided and notice of site visit to be posted for 30 days.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Elizabeth Friese
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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 11/07/2024 10:18 AM - It Cannot Be Edited


Created By: Elizabeth Friese On 11/07/2024 at 10:07 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: SMART START PRESCHOOL
FACILITY NUMBER: 045404371

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/07/2024
Section Cited
CCR
101212(d)(1)(B)

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101212(d)(1)(C) upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department...., a written report containing the information...shall be submitted to the Department within seven days following the occurrence of such event. (1)Events reported shall include the following: (B) Any injury to any child that requires medical treatment.
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Facility administrator has provided guidance for all staff regarding injuries that occur to children who are in care at the facility and reporting requirements. This citation will be cleared as of this date, 11/07/24
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This requirement was not met as evidence by: Based on file review, the facility did not notify the department by phone or written report within specified timelines, which poses 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 Virrueta
LICENSING EVALUATOR NAME:Elizabeth Friese
LICENSING EVALUATOR SIGNATURE:
DATE: 11/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/07/2024


LIC809 (FAS) - (06/04)
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