125408285-8-10-2023-13-CC-KLYH-CUKQXL-20230810123343

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 125408285
Report Date: 08/10/2023
Date Signed: 08/10/2023 12:33:56 PM

Document Has Been Signed on 08/10/2023 12:33 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:	CHILD DEVELOPMENT LABORATORY		FACILITY NUMBER:	125408285
ADMINISTRATOR:	MOONEY, JILLIAN		FACILITY TYPE:	850
ADDRESS:	1350 C STREET		TELEPHONE:	(707) 826-3475
CITY:	ARCATA	STATE: CA	ZIP CODE:	95521
CAPACITY: 26	TOTAL ENROLLED CHILDREN: 15	CENSUS: 0	DATE:	08/10/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Jillian Mooney, Hyun-Kyung You		TIME COMPLETED:	01:00 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 8:30 AM by Licensing Program Analyst (LPA) Kiriko Lynch. LPA met with facility representatives Jillian Mooney and Hyun-Kyung You. The public agency applicant/licensee is requesting a license for preschool age children, with a capacity of 26. The facility will operate Monday-Friday, 8:45 AM to 11:30 AM morning program, 12:45 PM to 3:30 PM afternoon program. The facility has one classroom, one children’s restroom, and three staff restrooms. The indoor and outdoor activity spaces were toured, and the facility sketch was verified. The following areas will be off limits to children: basement. These areas have been made inaccessible by means of locked/sealed doors. There is a kitchen to store/prepare snacks, and children will bring lunches from home. Children will nap on mats in the classroom. The isolation area for sick children will be in the office. The outdoor play area is fully fenced. There is a climbing structure for children to play on and adequate cushioning underneath. There is no pool, spa, pond, fountain, or any other body of water on the premises. 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 29 children and outdoor space for 39 children. There are three toilets and six sinks available for children. Based on the above, the maximum capacity of the facility could be 29. See next page

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

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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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: CHILD DEVELOPMENT LABORATORY	FACILITY NUMBER: 125408285
	VISIT DATE: 08/10/2023

NARRATIVE

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Facility representative 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. LPA reviewed with facility representative the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Facility representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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 platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Facility is licensed today, 08/10/2023. Exit interview conducted and report was reviewed with the facility representatives Jillian Mooney and Hyun-Kyung You.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

LIC809 (FAS) - (06/04)

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