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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 451375074
Report Date: 11/08/2024
Date Signed: 11/08/2024 10:32:43 AM

Document Has Been Signed on 11/08/2024 10:32 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: 14CENSUS: 7DATE:
11/08/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Sherrie Duncan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
NARRATIVE
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On 11/8/24 at 9:15am, Licensing Program Analyst (LPA) Nicolette Cunningham conducted an unannounced inspection, and met with licensee Sherrie Duncan. Today's visit was conducted to verify the plan of correction for four Type A citations that were issued on 11/1/24 for sleep checks not documented, unsafe sleep environment, infant sleeping with toys and infant sleeping on soiled bedding.

During today's visit LPA Cunningham toured facility and observed the licensee providing care for four infants (C1, C2, C3 and C6) and three children. The licensee was operating out of ratio. LPA observed two infants (C2 & C3) sleeping in pack and plays with a bottle which is considered an unsafe sleeping environment. LPA photographed C3 sleeping with a bottle. LPA provided capacity regulations, a copy of regulation 102425 and a copy of regulation 102416.5.

The following deficiencies were cited: operating over capacity and infants sleeping in an unsafe environment (see LIC 809D):

LPA Cunningham informed licensee S. Duncan that this report dated 11/8/45 documents two Type A citations 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 S. Duncan to provide a copy of this licensing report dated 11/8/24 that documents any 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. Appeal rights were provided.
Notice of Site Visit shall be posted for 30 days from today's visit
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2024
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 11/08/2024 10:32 AM - It Cannot Be Edited


Created By: Nicolette Cunningham On 11/08/2024 at 09:35 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: 11/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/09/2024
Section Cited
CCR
102416.5(e)

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(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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Licensee reviewed capacity requirements and signed
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This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by providing care for 18 children which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
11/09/2024
Section Cited
CCR102425(b)

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(b) Cribs or play yards shall be free from all loose articles and objects.
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Licensee stated she will review and send LPA Cunningham an e-mail confirming she reviewed.
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This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by two children were observed sleeping with a bottle in the crib which poses an immediate health, safety or personal rights risk to persons in care 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: 11/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2024


LIC809 (FAS) - (06/04)
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