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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045405999
Report Date: 12/21/2023
Date Signed: 12/21/2023 12:04:23 PM

Document Has Been Signed on 12/21/2023 12:04 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:DAVIS, ANGELA FAMILY CHILD CARE HOMEFACILITY NUMBER:
045405999
ADMINISTRATOR:DAVIS, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 533-6934
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
12/21/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:26 AM
MET WITH:Angela Davis, LicenseeTIME COMPLETED:
12:15 PM
NARRATIVE
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On 12/21/23 at 11:26am, Licensing Program Analyst (LPA) E. Laird conducted an unannounced case management inspection and met with licensee Angela Davis. Upon arrival to the home LPA observed the licensee caring for five children.

LPA conducted interviews with licensee, staff, children, and witnesses. Based on information received, the following deficiency was cited: 102423(a)(4) Personal Rights (see LIC809D).

LPA E. Laird informed licensee, Angela Davis, that this report dated 12/21/23 documents 1 Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.


Also, LPA E. Laird informed the licensee to provide a copy of this licensing report dated 12/21/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with licensee, Angela Davis and appeal rights were provided.

Notice of Site visit shall remain posted for 30 days.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/21/2023
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 12/21/2023 12:04 PM - It Cannot Be Edited


Created By: Erica Laird On 12/21/2023 at 11:32 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: DAVIS, ANGELA FAMILY CHILD CARE HOME
FACILITY NUMBER: 045405999

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
12/21/2023
Section Cited
CCR
102423(a)(4)

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102423 Personal Rights(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

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Licensee shall no longer place children in isolated areas as punishment. Licensee shall no longer have children write sentences as a form of punishment. Licensee to firmiliarize herself with personal rights regulations and submit an acknowlegement of understanding to CCL by 12/22/23.
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This regulation was not met as evidence by: Licensee is putting children outside as punishment. Licensee is having older children write sentences as punishment.
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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:Megan Aviles
LICENSING EVALUATOR NAME:Erica Laird
LICENSING EVALUATOR SIGNATURE:
DATE: 12/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/21/2023


LIC809 (FAS) - (06/04)
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