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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 451375074
Report Date: 11/01/2024
Date Signed: 11/01/2024 11:08:22 AM

Document Has Been Signed on 11/01/2024 11:08 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-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:DUNCAN, SHERRIE FAMILY DAY CAREFACILITY NUMBER:
451375074
ADMINISTRATOR/
DIRECTOR:		DUNCAN, SHERRIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 275-1935
CITY:SHASTA LAKE CITYSTATE: CAZIP CODE:
96019
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
11/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Sherrie Duncan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On 11/01/2024 at 10:00am, Licensing Program Analyst (LPA) Nicolette Cunningham conducted an unannounced inspection. A non-compliance conference was held with the licensee on 12/18/23 after the licensee received multiple type A citations.

During today's inspection, the licensee was providing care for four preschool age children and two infants.

The following deficiencies were cited sleep checks not documented, unsafe sleep environment, infant sleeping with toys and infant sleeping on soiled bedding (see LIC 809D).

LPA Cunningham informed licensee Sherrie Duncan that this report dated 11/1/24 documents four Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Cunningham informed the licensee to provide a copy of this licensing report dated 11/1/24 that documents four Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.



Exit interview conducted and report was reviewed with the licensee. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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 11/01/2024 11:08 AM - It Cannot Be Edited


Created By: Nicolette Cunningham On 11/01/2024 at 10:06 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: DUNCAN, SHERRIE FAMILY DAY CARE
FACILITY NUMBER: 451375074

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/02/2024
Section Cited
CCR
102425(j)(D)

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(j) The provider shall supervise infants while they are sleeping and adhere to the following requirements: Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:
a. Date.
b. Infant’s name.
c. Time of each 15-minute check.
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Licensee will start documenting for every infant every 15 minute check and have documentation available for licensing.
Plan of correction will be submitted by 11/2/24.
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This requirement was not met as evidenced based on LPA Cunningham's observation and review of no documentation for 2 infants since 10/15/24 which poses an immediate health, safety or personal rights risk to children in care.
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Type A
11/02/2024
Section Cited
CCR102425(a)4

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(4) Mattresses shall be made specifically for the size crib or play yard in which they are placed.
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Licensee removed the four mattresses and placed a sheet on the bottom pad. The licensee stated she will review safe sleep guidelines and send proof that she reviewed and understands all requirements.

nicolette.cunningham@dss.ca.gov
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This requirement was not met as evidence based on LPA Cunningham's observation of one infant sleeping on four mattresses that did not properly fit the pack and play and created a large gap on the side of the pack and play which poses an immediate health, safety or personal rights risk to children in care.
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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:Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/01/2024 11:08 AM - It Cannot Be Edited


Created By: Nicolette Cunningham On 11/01/2024 at 10:31 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: DUNCAN, SHERRIE FAMILY DAY CARE
FACILITY NUMBER: 451375074

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/02/2024
Section Cited
CCR
102425(b)

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(b) Cribs or play yards shall be free from all loose articles and objects.

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Licensee immediately removed the two toys from the crib. The licensee stated she will review safe sleep guidelines and send proof that she reviewed and understands all requirements.

nicolette.cunningham@dss.ca.gov
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This requirement was not met as evidenced based on LPA Cunningham's observation of one infant sleeping in a crib with two toys which poses an immediate health, safety or personal rights risk to children in care.
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Type A
11/02/2024
Section Cited
CCR102425(a)(7)

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(7) Soiled bedding shall be placed in a closed container and made inaccessible to infants until washed.

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Licensee removed the sheet and mattress and placed a clean sheet on the pad in the pack and play.

The licensee stated she will review safe sleep guidelines and send proof that she reviewed and understands all requirements.

nicolette.cunningham@dss.ca.gov
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This requirement was not met as evidence based on LPA Cunningham's observation of one infant sleeping on a sheet and mattress that was soiled which poses an immediate health, safety or personal rights risk to children in care.
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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:Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/01/2024 11:08 AM - It Cannot Be Edited


Created By: Nicolette Cunningham On 11/01/2024 at 10:45 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: DUNCAN, SHERRIE FAMILY DAY CARE
FACILITY NUMBER: 451375074

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/09/2024
Section Cited
CCR
102417(a)

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The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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Licensee stated she will review regulation 102417(a) and sign that she understands.

nicolette.cunningham@dss.ca.gov
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This requirement was not met as evidenced based on the licensee's statement that she was absent for more than 20% of the time on 10/15/24.
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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:Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2024


LIC809 (FAS) - (06/04)
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