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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525407711
Report Date: 10/09/2024
Date Signed: 10/09/2024 09:02:12 AM


Document Has Been Signed on 10/09/2024 09:02 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926



FACILITY NAME:ALCALA, CHARITY FAMILY CHILD CARE HOMEFACILITY NUMBER:
525407711
ADMINISTRATOR:ALCALA, CHARITYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 526-2412
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:14CENSUS: 5DATE:
10/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:12 AM
MET WITH:Charity Alcala - Licensee TIME COMPLETED:
09:12 AM
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An unannounced case management inspection was conducted today at 8:10am by Licensing Program Analyst (LPA), Sydney Sims. LPA met with licensee Charity Alcala. In response to an Unusual Incident Report received by the Department on 10/2/24 in regards to an inappropriate interaction between children C1 - C2.

The licensee was interviewed on at 10/2/24 at 3:03pm and 10/9/24 at 8 :36am and stated that on 10/2/24 at 10:10am an inappropriate interaction between child C1 - C2 occurred outside while the Licensee was helping other children get their shoes on.

One child was interviewed on 10/9/24 and was unable to provide any information regarding the situation.

During today’s inspection, the facility was toured, and LPA requested copy of Roster. LPA observed 5 children in care.

Based on interviews and reports received further investigation is needed.

Exit interview conducted and report was reviewed with the licensee Charity Alcala. Appeal Rights were provided.


SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sydney SimsTELEPHONE: (916) 365-5731
LICENSING EVALUATOR SIGNATURE:
DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/09/2024
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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