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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 123007037
Report Date: 08/11/2022
Date Signed: 08/11/2022 12:32:57 PM

Document Has Been Signed on 08/11/2022 12:32 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CHILDREN'S COTTAGE PRESCHOOL, THEFACILITY NUMBER:
123007037
ADMINISTRATOR:MCCUTCHEN, ROSEFACILITY TYPE:
850
ADDRESS:1807 HARRISON AVENUETELEPHONE:
(707) 445-8119
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 20DATE:
08/11/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mercedes PorterTIME COMPLETED:
01:00 PM
NARRATIVE
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LPA Lynch arrived at the facility today for the purpose of amending a recent Licensing report from 07/25/22, and met with the Site Supervisor. At today's visit, the facility was cited for a buildings and grounds violation for at least one child (C3) was recently able to open the back courtyard gate unassisted and left the facility into the back alleyway. Disclosures from witness interviews also provided that the latch on the gate was easily reached and opened by older children at the facility, and that the gate has sometimes been left open during pickup/dropoff time. This is a potential risk to children in care, and a Type B deficiency has been cited. See LIC 809-D. Exit interview conducted, appeal rights provided, and notice of site visit posted.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2022
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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Document Has Been Signed on 08/11/2022 12:32 PM - It Cannot Be Edited


Created By: Kiriko Lynch On 08/11/2022 at 08:26 AM
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: CHILDREN'S COTTAGE PRESCHOOL, THE
FACILITY NUMBER: 123007037

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/25/2022
Section Cited
CCR
101238

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Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

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Licensee stated she will ensure gate is latched with a more secure device to prevent children from exiting the facility unexpectedly, and also ensure staff and parents keep the back gates closed while not in use by reminding them to be mindful of keeping it closed and latched.
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The requirement was not met by at least one child (C3) in attendance was recently able to unlatch and exit a back facility gate into the alleyway while a teacher was supervising the child.
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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:Kiriko Lynch
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2022


LIC809 (FAS) - (06/04)
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