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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045406630
Report Date: 03/27/2024
Date Signed: 03/27/2024 09:31:27 AM

Document Has Been Signed on 03/27/2024 09:31 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:CHICO MONTESSORI CHILDREN'S HOUSEFACILITY NUMBER:
045406630
ADMINISTRATOR:LIVINGSTON, SARAHFACILITY TYPE:
850
ADDRESS:814 GLENN STREETTELEPHONE:
(530) 342-5518
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 31DATE:
03/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Sarah Livingston - Licensee TIME COMPLETED:
09:40 AM
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An unannounced case management inspection was conducted today at 8:50 am by Licensing Program Analyst (LPA), Sydney Sims and Elizabeth Friese. LPA met with licensee Sarah Livingston. In response to an Unusual Incident Report received by the Department on 3/8/23 where child C1 tripped and fell during recess. When C1 fell C1's forehead landed on pea gravel and C1 obtained a cut on the forehead requiring two stitches.

The licensee was interviewed on 3/27/24 at 8:30am and stated that on 3/8/24 C1 had tripped and fell during recess and was under the supervision of multiple staff. Licensee stated that C1 was given immediate care and that the injury could not have been prevented

One staff (S1) was interviewed on 3/27/24 and stated that C1 was playing during recess and tripped and fell into pea gravel. S1 stated that S1 and multiple other staff were outside providing supervision and that the injury could not have been prevented.

One parent (P1) was interviewed on 3/26/24 and stated that C1 obtained the injury during recess but that supervision was being provided. P1 stated that they did not feel the injury could have been prevented.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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: CHICO MONTESSORI CHILDREN'S HOUSE
FACILITY NUMBER: 045406630
VISIT DATE: 03/27/2024
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During today’s inspection, the facility was toured and LPA observed 31 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.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC809 (FAS) - (06/04)
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