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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 535408460
Report Date: 08/12/2024
Date Signed: 08/12/2024 02:21:11 PM

Document Has Been Signed on 08/12/2024 02:21 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:SHASTA HEAD START - WEAVERVILLEFACILITY NUMBER:
535408460
ADMINISTRATOR/
DIRECTOR:		DAVIS, SHAYNAFACILITY TYPE:
860
ADDRESS:491 WASHINGTON STTELEPHONE:
(530) 623-5980
CITY:WEAVERVILLESTATE: CAZIP CODE:
96093
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/12/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Tessa Buell TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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A prelicensing inspection was conducted today at 11am by Licensing Program Analyst (LPA), J. Snow. LPA met with applicant/licensee/facility representative Tessa Buell. The applicant/licensee is requesting a license for 24 Preschoolers in one room with 2 bathrooms. The facility will operate Monday-Friday, 7:45 am to 12:30 pm in Building #35 & follow the school year vacation schedule. The room is shared with another licensed program ALPS VIEW CHILD CARE CENTER (535405377) operating from 12:30 - 4:30pm. The children will stay in place for a full day of care; transition time for staff from both programs from 12:15-12:30 (plan on file). The facility will have the posed hours clearly stated on the Parent Board near the door. The fire clearance was approved on 7/22/2024.
The indoor and outdoor activity spaces were toured, and the facility sketch was verified. The following areas will be off limits to children: the kitchen will be locked. There is a full kitchen in the building where meals and snacks are prepared. This is a half day program with no nap scheduled, they have cots available if needed (the afternoon facility program has a rest/nap time). The isolation area for sick children will be located in the office located in the same building. There is no body of water, stairs requiring a barricade or weapons on premises per Tessa Buell. There is safe and age-appropriate furniture, toys, and play equipment available for children.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2024
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: SHASTA HEAD START - WEAVERVILLE
FACILITY NUMBER: 535408460
VISIT DATE: 08/12/2024
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Both outdoor play areas (Yard A & Yard B) are fully fenced. Yard A is just outside the classroom with no climbing structures. There are several sand boxes and the facility will check them each morning prior to outdoor play. Yard B is just across the walking path and has a large climbing structure with 2 slides that has posted signage for ages 2-5 years.

A capacity worksheet was completed during the visit. Inside square footage in room WEAA was measured at 1,320 square feet. There are 2 bathrooms with 5 toilets, a urinal and 2 sinks available for children, located in the room. Outside square footage in Yard A measures 3,020 square feet & Yard B measures 2,560 square feet . There is enough indoor & outdoor space (in each yard), toilets sinks etc to accommodate the requested capacity of 24 preschool children.

Tessa Buell 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.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. A Plan for Providing IMS was submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ)
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2024
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: SHASTA HEAD START - WEAVERVILLE
FACILITY NUMBER: 535408460
VISIT DATE: 08/12/2024
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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.
LPA reviewed with Tessa Buell the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA discussed the safe sleep regulations with Tessa Buell and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Tessa Buell 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.

Tessa Buell 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. Exit interview conducted and report was reviewed with the Tessa Buell. Please include their name.
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-carelicensing/subscribe and select the Child Care option to receive email communication.
The facility will be licensed effective august 13, 2024.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2024
LIC809 (FAS) - (06/04)
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