<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407355
Report Date: 01/23/2025
Date Signed: 01/23/2025 01:38:26 PM

Document Has Been Signed on 01/23/2025 01:38 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: 32DATE:
01/23/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:28 PM
MET WITH:Lisa JacksonTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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
An unannounced case management inspection was conducted on 1/23/25 at 12:28 pm by Licensing Program Analyst (LPA), Tammy Dutra and Bianca Mendez. LPAs met with Director, Lisa Jackson in response to an unusual incident report received by the Department on 1/3/25. It was reported by a parent to the director alleging that a staff member used inappropriate forms of discipline with two children in care including physically touching a child’s (C1) head in an aggressive manner and squeezing a child’s (C2) arm in frustration.

The Director was interviewed on 1/15/25 and stated she was informed by a parent their children had reported inappropriate discipline. Director investigated the allegation with staff members and acknowledged that S1 inappropriately disciplined children in care. Director documented S1 for inappropriately grabbing children and failing to uphold facility’s discipline policy on 12/17/24.

On 1/7/25 S1 denied the allegation that they used inappropriate forms of discipline but did state at times they put their hands and feet on children to keep them from moving during nap time. S1 admitted they change their tone to get children’s attention and admitted at times it can sound aggressive.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: 01/23/2025
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
26
27
28
29
30
31
32
Seven staff members were interviewed on 1/7/25 and 1/15/25. All staff stated they had witnessed S1 yelling aggressively at children in care. All staff indicated they had seen S1 mishandle children in care. Behavior observed by staff included yanking a child’s arms, forcefully putting a child back on their mat or removing a child from their mat and putting their hand on children’s faces in anger. Three staff indicated S1 forces children to eat food when they are full.

Five children were interviewed on 1/7/25 and 1/15/25. All children interviewed indicated that S1 was “mean” to them. C1 shared that S1 used inappropriate forms of discipline involving aggressively squeezing their head and yelling at them “don’t be a jerk”. C2 shared they had been squeezed and poked in the stomach by S1. All children interviewed indicated that S1 yells at them frequently and is “mad at them”.

Based on the evidence obtained it has been determined that a personal rights violation occurred and the following deficiency is being cited: CCR 101223 (a)(3) Personal Rights (see 809-D)


LPA Tammy Dutra informed licensee Lisa Jackson that this report dated 1/23/25 documents one 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 Tammy Dutra informed the licensee to provide a copy of this licensing report dated 1/23/25 that documents any Type A citation 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.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: 01/23/2025
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
26
27
28
29
30
31
32
Exit interview conducted and report was reviewed with the Director Lisa Jackson.

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: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 01/23/2025 01:38 PM - It Cannot Be Edited


Created By: Tammy Dutra On 01/23/2025 at 12:35 PM
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: NOAH'S ARK AT CALVARY CHAPEL CHICO - PRESCHOOL
FACILITY NUMBER: 045407355

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
01/23/2025
Section Cited
CCR
101223(a)(3)

1
2
3
4
5
6
7
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 functions of daily living including eating, sleeping or toileting…”
1
2
3
4
5
6
7
Licensee agrees to conduct a staff meeting and review regulations regarding CCR 101223 (a)(3) personal rights and have staff sign a document stating they understand and will adhere to all regulations regarding personal rights. Director agrees to come up with a plan to ensure staff is reporting any suspected
8
9
10
11
12
13
14
Based on staff and child interviews the facility did not comply with the section above, staff handled children in a rough manner and spoke to children in an aggressive manner.
8
9
10
11
12
13
14
abuse to management in a timely manner. Director agrees to provide a copy of LIC 809 to each child’s parent enrolled in the facility and keep a copy of a signed LIC 9224 in each child’s file. Any future children enrolled in the facility for the following year must receive a copy of the licensing report dated 1/23/25 and sign a LIC 9224.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
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:Erin Virrueta
LICENSING EVALUATOR NAME:Tammy Dutra
LICENSING EVALUATOR SIGNATURE:
DATE: 01/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/23/2025


LIC809 (FAS) - (06/04)
Page: 4 of 4