045404936-10-28-2024-13-CC-JSNW-DAGVGS-20241028162600

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 045404936
Report Date: 10/28/2024
Date Signed: 10/28/2024 04:26:19 PM

Document Has Been Signed on 10/28/2024 04:26 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:	E CENTER HS PGMS - MARIPOSA CENTER		FACILITY NUMBER:	045404936
ADMINISTRATOR/ DIRECTOR:	BUTLER, HEATHER		FACILITY TYPE:	850
ADDRESS:	2603 MARIPOSA		TELEPHONE:	(530) 343-0633
CITY:	CHICO	STATE: CA	ZIP CODE:	95973
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 40	CENSUS:	DATE:	10/28/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:22 PM
MET WITH:	Karen Fukushima		TIME VISIT/ INSPECTION COMPLETED:	04:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	A prelicensing inspection was conducted today by Licensing Program Analyst (LPA), J. Snow. LPA met with facility representative Karen Fukushima to add infant and toddler components and reduce the preschool capacity. The applicant/licensee is requesting a license for 8 infant (age 0-24 months), 20 preschool (age 2-5 years) 12 toddlers (age 18-36 months) children, with a capacity of 40. The facility will operate Monday-Friday, 7:45am to 5pm. The facility has 3 classrooms rooms and 2 bathrooms with 4 toilets & 2 staff bathrooms. 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 and the upstairs in Building #2. These areas have been made inaccessible by means of gates. There is a kitchen, refrigerator and dishwasher and microwave to store/prepare meals that are delivered from another site. There is a nap room for infants to sleep with 2 cribs set up, additional cribs on site that may be added & additional mats to meet capacity. The isolation area for sick children will be located in the office in building #2. The changing table is located in the infant room. The outdoor play area is fully fenced. In the preschool yard there is a large structure with 2 slides which manufacturers age is age 2-5 years and it is anchored. There is a shared yard for infants and toddlers rated age 0-23 months. There are rubber mats & bark under climbing structures providing adequate cushioning underneath. There are shade structures and trees to provide shade in both yards. There is no pool, spa, pond, fountain, or any other body of water on the premises. The poisons are locked in a shed. There is safe and age appropriate furniture, toys, and play equipment available for children. A capacity worksheet was completed during the visit. Infant room #2 measures 288 square feet with a potty chair. Toddler room #3 measures 589 square feet with 2 toilets. The Preschool room #1 measures 895 square feet with 2 toilets. The infant/toddler yard measures 2,718 square feet, the preschool yard measures 6,354 feet. There is enough, toilets, indoor & outdoor space to meet the requested capacity of 40 children; 8 infants/12 toddlers and 20 preschool. continued

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024

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: E CENTER HS PGMS - MARIPOSA CENTER	FACILITY NUMBER: 045404936
	VISIT DATE: 10/28/2024

NARRATIVE

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Facility representative 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. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) 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 facility representative 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 the facility representative 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 the facility representative 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.

Karen Fukushima 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.

continued

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024

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: E CENTER HS PGMS - MARIPOSA CENTER	FACILITY NUMBER: 045404936
	VISIT DATE: 10/28/2024

NARRATIVE

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Exit interview conducted and report was reviewed with the facility representative Karen Fukushima

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 following items need to be completed prior to the granting the license:

1. Jodi Keller prints associated to the facility
2. Managerial approval
3. Admission agreement- please add a signature line for toddler permission
4. Updated waiver request for shared yard & approval
5. Letter of experience for director
6. health and safety emsa class with lead for director
7. Updated lic200a with the updated infant capacity
8. Photo of the gate to block access to the upstairs

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024

LIC809 (FAS) - (06/04)

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