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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045407914
Report Date: 09/29/2025
Date Signed: 09/29/2025 09:41:38 AM

Document Has Been Signed on 09/29/2025 09:41 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:PARKSIDE PRESCHOOL & DAYCARE (PRESCHOOL)FACILITY NUMBER:
045407914
ADMINISTRATOR/
DIRECTOR:		CABRAL, RANDIFACILITY TYPE:
850
ADDRESS:1885 EAST 8TH STREETTELEPHONE:
(530) 893-5139
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: DATE:
09/29/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:21 AM
MET WITH:Randi CabralTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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An unannounced case management inspection was conducted today at 8:21am by Licensing Program Analyst (LPA), Tammy Dutra. LPA met with facility representative Randi Cabral in response to an Unusual Incident Report received by the Department on 9/25/25. A child in care, C1 fell off the slide causing scratches on face. C1 was later taken to the doctor and it was determined C1 had gotten a concussion from the fall.

The facility representative was interviewed on 9/29/25 at 8:30 am and stated that she was not present during the incident. She was informed that the incident occurred. S1 filled out the ouch report and facility representative called in the incident the following day. Facility representative stated that C1 returned to school the next day with no further issues.

During today’s inspection, the facility was toured and the outdoor play equipment was inspected and photographed. LPA requested a copy of the attendance sheet for the Turtle classroom.
NAME OF LICENSING PROGRAM MANAGER: Erin Virrueta
NAME OF LICENSING PROGRAM ANALYST: Tammy Dutra
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: PARKSIDE PRESCHOOL & DAYCARE (PRESCHOOL)
FACILITY NUMBER: 045407914
VISIT DATE: 09/29/2025
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Two staff, (S1 & S2) were interviewed on 9/29/25. S1 stated that C1 was standing on the top of the slide and they saw C1 lift their hands out of their peripheral view and C1 then fell from the top of the slide landing on their face and arm which knocked the wind out of them. S1 stated C1 was having difficulty breathing and standing so S1 immediately called S2 to bring C1 into the office for care. S2 took over care and notified C1's parent to pick up child and seek medical attention. S2 applied first aid and indicated C1 was struggling to breathe and had scrapes on their face. S2 applied ice and waited for C1's parent to arrive.

LPA attempted to interview C1 on 9/25/25 who could not articulate why they fell. C1 said they understood slides should be used on their bottom.

LPA interviewed P1 and P2 who stated that C1 is very active and may have been attempting to go down the slide on their feet. Both parents indicated they have no concerns with supervision at the facility. LPA obtained medical records from the ER visit.

Based on interviews, record review and observation of the play equipment the facility was operating within ratios and children were being actively supervised. LPA determined play equipment is age appropriate. Based on information available LPA does not believe that the staff could have prevented the incident.
NAME OF LICENSING PROGRAM MANAGER: Erin Virrueta
NAME OF LICENSING PROGRAM ANALYST: Tammy Dutra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2025
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: PARKSIDE PRESCHOOL & DAYCARE (PRESCHOOL)
FACILITY NUMBER: 045407914
VISIT DATE: 09/29/2025
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Exit interview conducted and report was reviewed with the facility representative Randi Cabral.

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.
NAME OF LICENSING PROGRAM MANAGER: Erin Virrueta
NAME OF LICENSING PROGRAM ANALYST: Tammy Dutra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2025
LIC809 (FAS) - (06/04)
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