045407900-5-13-2021-13-CC-SHUD-C2YUYK-20210513160001

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 045407900
Report Date: 05/13/2021
Date Signed: 05/13/2021 04:00:30 PM

Document Has Been Signed on 05/13/2021 04:00 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:	CHICO CHILD DEVELOPMENT CENTER- SCHOOL AGE		FACILITY NUMBER:	045407900
ADMINISTRATOR:	CAPERELLO, SHELLY		FACILITY TYPE:	840
ADDRESS:	850 PALMETTO AVE		TELEPHONE:	(530) 894-1778
CITY:	CHICO	STATE: CA	ZIP CODE:	95926
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	05/13/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Shelly Caperello, Owner/Director		TIME COMPLETED:	10:40 AM

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	The facility pre-licensing inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak by Licensing Program Analyst (LPA), Sandy Husband. The applicant submitted an application for an initial license of 6 school age children that was received on 03/30/21. The facility is a combination center with a separate preschool and infant license. The facility is located on the campus of First Baptist Church and was toured inside and outside. The operational hours are from 7:30 AM to 5:30 PM, Monday - Friday. The school-age facility consists of 1 classroom noted as the Library Conference Room and will be the room that serves the school-age children. The fire clearance was approved for a total of 6 children on 4/6/21. The outdoor yard area measured for 23 school-agers, however is under management review. The indoor classroom measured for 6 children. Required postings (Parents Personal Rights, Emergency Disaster Plan, Earthquake Preparedness Checklist, Menu, etc.) listed on Form LIC 311A will be posted. The applicant was advised that all staff are required to have a criminal background clearance on file with Community Care Licensing (CCL). The applicant is aware of the immediate $100 per day civil penalty for anyone providing care or supervision without a criminal record clearance. The applicant has met the the educational requirements to qualify as a Director. The applicant completed the Preventive Health Practices and was verified on 3/5/19, however the lead poisoning training will need to be completed. The applicant has current Pediatric CPR and First Aid, and it expires 10/15/22. The Applicant has mandated reporter training which expires on 9/22/22. Children will use the unfenced outdoor play area if approved by management. Sign-In/Out procedure were reviewed and the facility will be using an electronic program. The applicant understands that if a manual Sign-In/Out procedure is used, full legal signatures are required. There are voice activated fire alarms, and there will be a working carbon monoxide detector and a charged fire extinguisher was observed in the facility rated at least 2A10BC. All Exits are marked. There is 1 bathroom available with (Continued on LIC 809-C)

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sandra Husband
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021

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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: CHICO CHILD DEVELOPMENT CENTER- SCHOOL AGE	FACILITY NUMBER: 045407900
	VISIT DATE: 05/13/2021

NARRATIVE

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(Continued from LIC 809)
three toilets to school-agers, two sinks and privacy is provided. There is one staff bathroom, which is separate and located in the infant room. There is uncontaminated drinking water available to children both indoors and outdoors via a water cooler in each classroom to refill individual water bottles. The isolation area for a sick child will be in the Director's office. The facility has a current menu serving breakfast, AM and PM snacks and lunch is provided by the child's authorized representative. Breakfast and snacks will be served on site and prepared at the facility.
Age appropriate toys and activities will be available for children. The play yard is unfenced and is located in the back of the property. There will be canopies to provide shade in the play yard. There are separate fenced play yards for the infant and preschool children. There are no bodies of water located on the property and none are to be added without prior notification and approval of the licensing agency. Upon submission of the required items listed below, capacity will be granted for a total of 6 school-age children based on the fire clearance and classroom measurement. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (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. This report and the Lead Exposure Testing Flyer, were reviewed and discussed with the applicant. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

The following items must be submitted prior to licensure:

1. Enrollment in a current lead prevention course for the Applicant/Director.
2. A working carbon monoxide detector.
3. Photos of outdoor play area to be submitted for management review.
4. Submit photos of required postings.

A 90-day provisional license shall be granted upon submission of the above items. The provisional license cannot be extended. Prior to granting a regular license, the applicant shall provide proof of lead training certification to complete the requirement for current Preventative Health Practices.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sandra Husband
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021

LIC809 (FAS) - (06/04)

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