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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407355
Report Date: 01/07/2025
Date Signed: 01/07/2025 04:58:29 PM

Document Has Been Signed on 01/07/2025 04:58 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:NOAH'S ARK AT CALVARY CHAPEL CHICO - PRESCHOOLFACILITY NUMBER:
045407355
ADMINISTRATOR/
DIRECTOR:
JACKSON, LISAFACILITY TYPE:
850
ADDRESS:1888 SPRINGFIELD DRIVETELEPHONE:
(530) 487-0776
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 23DATE:
01/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Amy Wuestefeld TIME VISIT/
INSPECTION COMPLETED:
05:08 PM
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An unannounced case management inspection was conducted today at 2:40 pm by Licensing Program Analyst (LPA), Tammy Dutra. LPA met with facility representative. In response to an Unusual Incident Report received by the Department on January 2, 2025. It was brought to the department's attention that S1 handled C1 in a rough manner and yelled at C1 and C2.

The facility representative was interviewed on 1/7/25 at 2:40pm and stated that at they have witnessed a lack of composure at times and have overheard yelling from S1 on multiple occasions.

Four staff and two children were interviewed on 1/7/25 and stated they had seen S1 speak to children inappropriately. Three staff indicated they have all seen S1 handle a child in a rough manner. C1 and C2 indicated they witnessed S1 handle a child in a rough manner.

During today’s inspection, the facility was operating within ratio requirements. There were 23 children present with 10 staff working. LPA did not observe any Title 22 violations.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: NOAH'S ARK AT CALVARY CHAPEL CHICO - PRESCHOOL
FACILITY NUMBER: 045407355
VISIT DATE: 01/07/2025
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Based on the interviews today, further investigation is needed.

There were no deficiencies cited during today’s inspection.

Exit interview conducted and report was reviewed with the facility representative Amy Wuestefeld.

Appeal rights were provided. 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.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
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