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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407504
Report Date: 09/27/2024
Date Signed: 09/27/2024 01:32:38 PM

Document Has Been Signed on 09/27/2024 01:32 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:CHICO CHILD DEVELOPMENT CENTER - PRESCHOOLFACILITY NUMBER:
045407504
ADMINISTRATOR/
DIRECTOR:
MORALES, VALERIA DOMINGUEZFACILITY TYPE:
850
ADDRESS:850 PALMETTO AVENUETELEPHONE:
(530) 894-1778
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 20DATE:
09/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Valeria Dominguez Morales, DirectorTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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An unannounced case management inspection was conducted today at 12:15pm by Licensing Program Analyst (LPA), Erica Laird. LPA met with Valeria Dominguez Morales in response to an Unusual Incident Report received by the Department on 9/24/24. Per the incident report, on 9/24/24 a child (C1) left the classroom and went outside unattended. C1 was outside without supervision for approximately 5 minutes.

Valeria Dominguez Morales was interviewed on 9/27/24. Valeria stated on 9/23/24 at approximately 3:25pm a child (C1) followed a staff (S1) out of the classroom and exited the building into the outside breezeway. Valeria stated C1 was unattended for approximately 5 minutes before staff located them.

During today’s inspection, the facility and playground was toured and one staff (S1) was interviewed. LPA observed a hallway leading from the classroom to a breezeway outside of the building. The classroom had a child gate barricading doorway between classroom and hallway. LPA Laird took 7 photos
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2024
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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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: CHICO CHILD DEVELOPMENT CENTER - PRESCHOOL
FACILITY NUMBER: 045407504
VISIT DATE: 09/27/2024
NARRATIVE
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Based on interviews, inspection, and the severity of the event, the following deficiency is being cited on the LIC809-D. 1596.99(c)(3) Absence of supervision. A civil penalty was assessed.

LPA Laird informed director Valeria Dominguez Morales that this report dated 9/27/24 documents 1 Type A citation(s) 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.

LPA Laird informed Valeria Dominguez Morales to provide a copy of this licensing report dated 9/27/24 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.



Exit interview was conducted and report reviewed with Valeria Dominguez Morales. 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: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/27/2024 01:32 PM - It Cannot Be Edited


Created By: Erica Laird On 09/27/2024 at 12:32 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: CHICO CHILD DEVELOPMENT CENTER - PRESCHOOL

FACILITY NUMBER: 045407504

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/27/2024
Section Cited
HSC
1596.99(c)(3)

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The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation...:(3) Absence of supervision, including, but not limited to, a child left unattended, and supervision of a child by a person under 18 years of age.
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Licensee shall conduct all staff training and provide CCL with detailed agenda and attendance sheet by 10/23/24.
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This requirement was not met as evidenced by: Based on interviews child (C1) was usupervised for approximately 5-6 minutes on the playground. An immediate civil penalty of $500 applies. This poses an immediate health and safety risk to children in care.
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LPA Laird recommends all staff watch the following training video.

Active Supervision:
https://ccld.childcarevideos.org/child-care-center-operators/supervising-children-in-child-care-centers/

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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: 09/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2024


LIC809 (FAS) - (06/04)
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