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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 041370473
Report Date: 12/08/2021
Date Signed: 12/08/2021 01:49:08 PM

Document Has Been Signed on 12/08/2021 01:49 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CHICO CHRISTIAN PRESCHOOLFACILITY NUMBER:
041370473
ADMINISTRATOR:WANINK, TAMARAFACILITY TYPE:
850
ADDRESS:2801 NOTRE DAME BLVD.TELEPHONE:
(530) 879-8988
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY: 118TOTAL ENROLLED CHILDREN: 118CENSUS: 78DATE:
12/08/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Tamara WaninkTIME COMPLETED:
11:15 AM
NARRATIVE
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On 12/8/21 at 10:10am, Licensing Program Analyst (LPA) Mendez and Marks conducted a follow up inspection regarding Covid-19 mask requirements.
A previous citation was issued on 9/21/21 for children not wearing a face coverings as required and licensee not enforcing the mask mandate from the State of California.
On 12/8/21, facility administrator failed to ensure the personal rights of children in care to safe and healthful accommodations, and engaged in conduct inimical to the health, welfare, and safety of children in care, in that facility children over the age of two were not wearing face coverings indoors as required by the State Public Health Officer Order dated June 11, 2021, requiring compliance with CDPH Guidance for the Use of Face Coverings, and the ROM 21-03-CCP Page Six Cal/OSHA COVID-19 Prevention Emergency Temporary Standards (ETS). An exemption to the Order requiring face coverings did not apply.
During today's inspection, LPA Mendez and LPA Marks observed 49 children who were indoors, did not have facial coverings. LPA Mendez and LPA Marks observed 33 children who were playing outdoors and not wearing a mask, which is in compliance.

Notice of Site Visit must be posted for 30 days
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2021
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 12/08/2021 01:49 PM - It Cannot Be Edited


Created By: Bianca Mendez On 12/08/2021 at 09:20 AM
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: CHICO CHRISTIAN PRESCHOOL
FACILITY NUMBER: 041370473

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/08/2021
Section Cited
CCR
101223(a)(2)

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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights. To be accorded safe, healthful and comfortable accomodations, furnishings and equipment to meet his/her needs
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Director will submit a plan of correction about how they will comply with mask guidelines and plan of correction shall be submitted by 12/9/21 to LPA Mendez.
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This requirement was not met as evidence by:LPA Mendez's observation of children not wearing masks as required as well as the licensee not enforcing mask mandate in the preschool
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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:Bianca Mendez
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2021


LIC809 (FAS) - (06/04)
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