045408054-5-5-2022-13-CC-KMAS-CE5TE4-20220505143919

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 045408054
Report Date: 05/05/2022
Date Signed: 05/05/2022 02:39:23 PM

Document Has Been Signed on 05/05/2022 02:39 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	CHICO CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	045408054
ADMINISTRATOR:	WIECK, CHRISTINA		FACILITY TYPE:	840
ADDRESS:	115 OAK STREET		TELEPHONE:	(530) 228-0653
CITY:	CHICO	STATE: CA	ZIP CODE:	95928
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 6	CENSUS:	DATE:	05/05/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Applicant, Shelly Caperello		TIME COMPLETED:	02:45 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	A prelicensing inspection was conducted today at 1:45pm by Licensing Program Analyst (LPA), Kirk Marks. LPA met with applicant, Shelly Caperello. The applicant is requesting a license for school age children, with a capacity of 6. The facility will operate Monday - Friday, 7:30am to 5:30pm. The facility has three sections and one bathroom for children and one staff bathroom. The indoor and outdoor activity spaces were toured, and the facility sketch was verified. The following areas will be off limits to children: Downstairs with office space and laundry room, infant area and preschool area. These areas have been made inaccessible by means of locking safety gates and door locks. There is a kitchen to store and prepare meals. The isolation area for sick children will be located in the staff restroom. The outdoor play area is fully fenced. There is an age appropriate play area children to play in. There is no pool, spa, pond, fountain, or any other body of water on the premises. The poisons are locked in a cabinet in the hallway. The stairs are barricaded with a locked door. There is safe and age appropriate furniture, toys, and play equipment available for children. A capacity worksheet was completed during the visit. There is enough indoor space for 8 children and outdoor space for 11 children. There is one toilet and one sink available for children. The fire inspection was completed for a total of 6 children. Based on the above, the maximum capacity of the facility could be 6. LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Kirk Marks
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: CHICO CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 045408054
	VISIT DATE: 05/05/2022

NARRATIVE

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Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview was conducted and report was reviewed with the applicant, Shelly Caperello.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Kirk Marks
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

LIC809 (FAS) - (06/04)

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