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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475408358
Report Date: 12/11/2024
Date Signed: 12/11/2024 01:08:47 PM

Document Has Been Signed on 12/11/2024 01:08 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:KINCADE, ALIZA & CAROLYN FAMILY CHILD CARE HOMEFACILITY NUMBER:
475408358
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
12/11/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Aliza KincadeTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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An unannounced case management inspection was conducted today at 10:30am by Licensing Program Analyst (LPA), Nicolette Cunningham. LPA met with licensee A. Kincade in response to the licensee’s request for an increase of capacity to 14. An approved fire inspection was received on 6/6/24. Licensee A. Kincade has met the requirement for at least one year of experience. LPA was unable to obtain proof of experience for licensee C. Kincade so licensee A. Kincade will submit an updated LIC279 in her name only. A copy of the staffing ratio requirements was provided and discussed with the licensee. The licensee acknowledged she understood the ratio requirements and has an assistant with the required documentation on file. The licensee understands that an assistant provider under the age of 18 cannot be left alone without an adult on the premises.

The facility operates Monday-Friday, 8:00am to 5:30pm. The residence is a 3 bedroom/2 bath single story home. The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: two bedrooms and master bathroom. These areas have been made inaccessible by means of baby gates. Licensee stated no Poisons are stored on the property. The home is equipped with a working smoke detector and fire extinguisher rated at least 2A10BC. The children will use the front yard as the outdoor play area which is fully fenced when the gate is closed. There is no pool, spa, pond, fountain, or any other body of water on the premises.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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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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: KINCADE, ALIZA & CAROLYN FAMILY CHILD CARE HOME
FACILITY NUMBER: 475408358
VISIT DATE: 12/11/2024
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The Licensee was reminded that all adults 18 and over living in the home, persons who provide 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 licensed Family Child Care Home. 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.

There were no deficiencies cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided.

Exit interview conducted and report was reviewed with the licensee.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
LIC809 (FAS) - (06/04)
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