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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455408563
Report Date: 06/04/2025
Date Signed: 06/04/2025 06:04:09 PM

Document Has Been Signed on 06/04/2025 06:04 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:TINY TOES DAYCAREFACILITY NUMBER:
455408563
ADMINISTRATOR/
DIRECTOR:		SIGUENZA, KARIFACILITY TYPE:
860
ADDRESS:1201 INDUSTRIAL STTELEPHONE:
(530) 921-0541
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 0DATE:
06/04/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Kari SiguenzaTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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A prelicensing inspection was conducted today by Licensing Program Analyst (LPA), J. Snow. LPA met with facility representative Kari Siguenza. Applicant is requesting to be licensed for # 54 toddlers/preschoolers/infants/school age children. Capacity was adjusted to during the inspection due inside square footage. Updated capacity 50, consisting of 6 infants, age 0-24 months, 12 toddlers, age 18-36 months, 24 preschool children, age 2-5 years & 8 school age 5-13 years. Hours of operation will be Monday -Friday, 7am to 530 pm. The facility is located on the Shasta Community Health Center grounds in 5 separate apartment units, upstairs and downstairs. Infants in unit E, room 1&2. Preschool in Unit B, room 1-5 & Upstairs unit C room 1-5. Toddlers in unit A, room 1-5. School age in upstairs unit D, room 1 & 5. The facility plans to add signage to identify the location on the Shasta Community Health Center.

The indoor and outdoor activity spaces were toured, and the facility sketch was verified. The following areas will be off limits to children: kitchens that have been made inaccessible with a gate. These areas have been made inaccessible by means of gate; kitchens in every unit. Meals will be prepared in the toddler kitchen. There is a nap room for infants (with 8 cribs) and other children will nap on cots in their classrooms. The isolation area for sick children will be located in the office. The changing table is located in the infant bathroom.

see lic809c
NAME OF LICENSING PROGRAM MANAGER: Mai Lor
NAME OF LICENSING PROGRAM ANALYST: Jaime Snow
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: TINY TOES DAYCARE
FACILITY NUMBER: 455408563
VISIT DATE: 06/04/2025
NARRATIVE
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The outdoor play area is fully fenced. There is a play structure with slide 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. The poisons will be locked in unit D, room #2. The stairs are fences/barricaded with a gate. There is safe and age appropriate furniture, toys, and play equipment available for children.

A capacity worksheet was completed during the visit. The inside, room square footage measured 2,372 square feet. Children have access to at least 5 toilets & sinks. The outside, yard square footage measured 2772 square feet. Based on above, which was NOT sufficient requiring a reduction in the requested capacity during todays inspection.
The following items need to be completed prior to the granting the license:

1. Waiver approval for yard, send letter meeting guidelines listed below.
2. Install something to block under the stairs in the infant play yard
3. Updated fire clearance to match the new capacity
4. Gate top of the stairs leading to unit C and unit D.
5. Set up the infant yard for play with cushioning – send a photo
6. Install a gate in the infant unit to prevent access to the kitchen.
7. Director qualifications for Suzanna Walburg:
a. EXPERIENCE: Employer Letter: date & # of hours a day& ages of children & job duties
b. Evidence of current tuberculosis clearance
c. EMSA pediatric First Aid, CPR
d. Preventive health practices course, including Childhood Nutrition and Lead
e. Mandated reporter training certificate
f. Child Care Center Orientation- Component II - Operations and Record Keeping
g. Criminal record clearance or exemption associated to the facility.
see 809c
NAME OF LICENSING PROGRAM MANAGER: Mai Lor
NAME OF LICENSING PROGRAM ANALYST: Jaime Snow
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: TINY TOES DAYCARE
FACILITY NUMBER: 455408563
VISIT DATE: 06/04/2025
NARRATIVE
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Provide a waiver request that meets the following guidelines:
WHAT: You will need to update the request to include the specific regulation or written directive that you are requesting to be waived. You are requesting a shared yard.

Outdoor Activity Space (If you do not have the minimum square footage)
101438.2(a) which states that “There shall be at least 75 square feet per child of outdoor activity space based on the total licensed capacity”.

Toddler written directives, PIN -24-02-CCP:
Care for Toddlers within a Licensed Preschool Center (when sharing a yard)
101804(d) The department may approve alternate use of outdoor play space to achieve separation from preschool children or infants if necessary to protect the safety of children in care.

WHY: explain why you need the waiver/why you can not meet the regulation.
How: you intend to meet the intent of the regulation. Describe climbing structures and list the manufacturers age (if not suitable for all ages, then describe how climbing structures will be inaccessible).
INCLUDE, together in one email: the letter request following above guidelines, a copy of the outside activity schedule, and the yard map.
Criminal Record Clearance - Child Care Centers:
Kari Siguenza 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.
see 809c
NAME OF LICENSING PROGRAM MANAGER: Mai Lor
NAME OF LICENSING PROGRAM ANALYST: Jaime Snow
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: TINY TOES DAYCARE
FACILITY NUMBER: 455408563
VISIT DATE: 06/04/2025
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APPLICANT WILL WAIT UNTIL FACILITY OPENS TO DETERMINE IMS NEEDS:
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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
Review of records to be maintained - Child Care Centers:
LPA reviewed with Kari Siguenza the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
Safe Sleep (for infant centers)– Child Care Centers and Family Child Care Homes:
LPA discussed the safe sleep regulations with Kari Siguenza and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
MyChildCarePlan.org--Child Care Centers and Family Child Care Home:
Kari Siguenza 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.

see 809c
NAME OF LICENSING PROGRAM MANAGER: Mai Lor
NAME OF LICENSING PROGRAM ANALYST: Jaime Snow
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: TINY TOES DAYCARE
FACILITY NUMBER: 455408563
VISIT DATE: 06/04/2025
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Exit Interview - Child Care Centers and Family Child Care Homes:
Exit interview conducted and report was reviewed with the applicant, licensee, or facility representative, Kari Siguenza.
Subscribe to CCLD important information - Child Care Centers and Family Child Care Homes:
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-care-licensing/subscribe and select the Child Care option to receive email communication.
*end of public report
NAME OF LICENSING PROGRAM MANAGER: Mai Lor
NAME OF LICENSING PROGRAM ANALYST: Jaime Snow
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
LIC809 (FAS) - (06/04)
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