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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515408304
Report Date: 12/11/2023
Date Signed: 12/11/2023 12:24:53 PM

Document Has Been Signed on 12/11/2023 12:24 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:PERRYMAN, KATIE FAMILY CHILD CARE HOMEFACILITY NUMBER:
515408304
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
12/11/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:Katie Perryman, LicenseeTIME COMPLETED:
12:40 PM
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On 12/11/23 @ 11:58am Licensing Program Analyst's (LPA's) E. Laird and T. Dutra conducted an announced Case Management inspection. LPA's met with licensee, Katie Perryman.

During inspection, LPA's observed an infant laying down in a mesh enclosure with a blanket and bottle and a baby walker.

The following deficiency is being cited: 102425(b) all cribs or play yards shall be free from all loose articles and objects. And 102417(10)(b) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c) (see LIC 809D):

LPA E. Laird and T. Dutra informed licensee Katie Perryman that this report dated 12/11/2023 documents 1 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 E. Laird informed the licensee to provide a copy of this licensing report dated 12/11/23 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.

An exit interview was conducted with licensee, Katie Perryman and appeal rights were provided.

Notice of Site visit shall remain posted for 30 days.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2023
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 12/11/2023 12:24 PM - It Cannot Be Edited


Created By: Erica Laird On 12/11/2023 at 12:12 PM
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: PERRYMAN, KATIE FAMILY CHILD CARE HOME
FACILITY NUMBER: 515408304

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/11/2023
Section Cited
CCR
102425(b)

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102425(b) all cribs or play yards shall be free from all loose articles and objects.
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Infant was immediately removed from mesh enclosure and articles were removed. LPA provided safe sleep regulations to licensee. Licensee to read and submit acknowlegement of understanding regarding safe sleep regulations to CCL by 12/15/23.
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This requirement was not met as evidence by: Infant was observed in mesh enclosure with bottle and blanket.
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Type B
12/11/2023
Section Cited
CCR102417(10)(b)

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102417(10)(b) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Section 1596.846(b) and (c)
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Licensee immediately removed baby walker. LPA's discussed the regulation stating baby walkers are not allowed on the premises of an FCCH. Licensee to submit acknowlegement of understanding regarding baby walkers in the home to CCL by 12/15/23.
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This regulation was not met as evidence by: LPA's observed baby walker in daycare area.
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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:Megan Aviles
LICENSING EVALUATOR NAME:Erica Laird
LICENSING EVALUATOR SIGNATURE:
DATE: 12/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/11/2023


LIC809 (FAS) - (06/04)
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