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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115403997
Report Date: 05/04/2023
Date Signed: 05/04/2023 02:05:45 PM

Document Has Been Signed on 05/04/2023 02:05 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:HAMILTON CITY EARLY HEAD STARTFACILITY NUMBER:
115403997
ADMINISTRATOR:RICOROJAS, ARELYFACILITY TYPE:
830
ADDRESS:HWY 32 & LOS ROBLES ST.TELEPHONE:
(530) 826-0310
CITY:HAMILTON CITYSTATE: CAZIP CODE:
95951
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 5DATE:
05/04/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
01:52 PM
MET WITH:Arely Rico RojasTIME COMPLETED:
02:10 PM
NARRATIVE
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On 5/4/2023 at 1:52 PM, Licensing Program Analyst (LPAs) J. Helton and P. DiGenova made a case management inspection and met with Arely Rico Rojas. The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5.5 ppb or greater) of lead in the water:

Drinking Faucet B tested at 61

Drinking Faucet C tested at 45

All faucets were covered, taped and signed off until corrective actions were completed. Staff and parents were notified and there is a POC to replace the faucets. The facility tested on 1/7/2023 and is out of the required compliance date.


The following 2 deficiency are being cited (see LIC 809D). 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.

Exit interview conducted and report was reviewed with the Director Arely Rico Rojas.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jackie Helton
LICENSING EVALUATOR SIGNATURE: DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2023
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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Document Has Been Signed on 05/04/2023 02:05 PM - It Cannot Be Edited


Created By: Jackie Helton On 05/04/2023 at 01:57 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: HAMILTON CITY EARLY HEAD START
FACILITY NUMBER: 115403997

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/04/2023
Section Cited
HSC
1596.76(a)(1)

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(a)(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contaminiation levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the intial test.
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The facility has completed their lead test requirements on 1/7/2023
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This requirement was not met as evidenced by:
Date of testing sample on required documents
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Type B
05/31/2023
Section Cited
HSC101700.3(b)(1)

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101700.3(b)(1) California Lead Action Level at Child Care Centers - A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by:
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The licensee has made the faucets temporarily inaccessible by blocking/covering. The licensee retested the faucets. Retesting documents have been submitted and results are within normal limits
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Received sample results
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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:Erin Virrueta
LICENSING EVALUATOR NAME:Jackie Helton
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2023


LIC809 (FAS) - (06/04)
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