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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045406975
Report Date: 04/16/2024
Date Signed: 04/16/2024 03:44:44 PM

Document Has Been Signed on 04/16/2024 03:44 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:KINDER KIDSFACILITY NUMBER:
045406975
ADMINISTRATOR/
DIRECTOR:		NEELY, NEYSAFACILITY TYPE:
850
ADDRESS:2845 ESPLANADETELEPHONE:
(530) 342-5433
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 14DATE:
04/16/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:06 PM
MET WITH:Neysa NeelyTIME VISIT/
INSPECTION COMPLETED:
03:54 PM
NARRATIVE
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On 4/16/24 at 3:06pm Licensing Program Analyst (LPA) Bianca Mendez conducted a unannounced case management visit for the purpose of lead testing. LPA Bianca Mendez met with licensee/director Neysa Neely.

LPA had verified that facility did not use a certified external water sampler.

During today's visit LPA observed 14 children in care.


The following deficiency is being cited (see LIC 809D). A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Neysa Neely.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2024
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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Document Has Been Signed on 04/16/2024 03:44 PM - It Cannot Be Edited


Created By: Bianca Mendez On 04/16/2024 at 03:19 PM
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: KINDER KIDS
FACILITY NUMBER: 045406975

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/16/2024
Section Cited
HSC
101700.5(a)

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101700.5 Certified External Water Sampler
(a) Certified external water samplers shall be used to conduct the Child Care Center water collection
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Licensee agrees to have certified external water sampler complete lead testing at facility and have results uploaded to database.The licensee agrees to submit an LIC 9275 and LIC 9276 by 5/16/24
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Based on record review,LPA reviewed that lead testing was completed on 8/17/22 but facility did not use a certified external water sampler.
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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: 04/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/16/2024


LIC809 (FAS) - (06/04)
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