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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525407711
Report Date: 12/18/2024
Date Signed: 12/18/2024 08:41:19 AM

Document Has Been Signed on 12/18/2024 08:41 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/
DIRECTOR:
ALCALA, CHARITYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 526-2412
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
12/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:21 AM
MET WITH:Charity Alcala- Licensee TIME VISIT/
INSPECTION COMPLETED:
08:51 AM
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This is a continuation report from a case management incident report conducted on 12/18/24.

An unannounced case management inspection was conducted today 12/18/24 at 8:21am by Licensing Program Analyst (LPA), Sydney Sims and Tammy Dutra. 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. C1 – C2 were outside with the Licensee and the Licensee maintained required supervision.

One child (C1) was interviewed on 10/9/24 and was unable to provide any information regarding the situation.
One parent (P1) was interviewed on 11/09/24 at 2:02pm and stated that the P1 believes Licensee maintained supervision on the children when the incident occurred.
Megan AvilesTELEPHONE: (530) 895-5984
Sydney SimsTELEPHONE: (916) 365-5731
DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: ALCALA, CHARITY FAMILY CHILD CARE HOME
FACILITY NUMBER: 525407711
VISIT DATE: 12/18/2024
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During today’s inspection, the facility was toured, and LPAs observed 7 children in care.

Based interviews conducted and information obtained the Licensee provided the required supervision for children in care.

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

Exit interview conducted and report was reviewed with the licensee
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sydney SimsTELEPHONE: (916) 365-5731
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
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