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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045408155
Report Date: 06/05/2024
Date Signed: 06/05/2024 12:36:19 PM

Document Has Been Signed on 06/05/2024 12:36 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:LITTLE LIONS PRESCHOOLFACILITY NUMBER:
045408155
ADMINISTRATOR/
DIRECTOR:		CORBETT, KATHLEENFACILITY TYPE:
850
ADDRESS:1560 MANZANITA AVETELEPHONE:
(530) 891-3000
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 59DATE:
06/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:56 AM
MET WITH:Kathleen CorbettTIME VISIT/
INSPECTION COMPLETED:
12:46 PM
NARRATIVE
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An unannounced case management inspection was conducted today at 11:56am by Licensing Program Analyst (LPA), Bianca Mendez and Kayla Danielson. LPA met with facility representative Kathleen Corbett. In response to an Unusual Incident Report that occurred on May 31st, child (C1) was left outside on the playground as their class transitioned from outside to inside the classroom

The facility representative was interviewed on 6/5/24 and stated that they were informed of the incident regarding (C1) from staff but it did not occur to report the incident to Community Care Licensing. C1 was outside on the playground around 11:45am and the children were transitioning from outside to inside the classroom for lunch time. Another staff member from another classroom had walked C1 back into the classroom. Facility representative was gone for about 5 minutes and the staff had not realized that C1 was not in the classroom.

LPAs interviewed Staff (S1-S3) on 6/5/24 and stated that C1 was not left outside without a adult. S1 stated that they were outside during the time children were transitioning from outside to inside. S2 stated they had did a head count prior to the children going inside and may have miscounted. S3 stated they did not do the head count because S2 had completed the headcount prior to going inside the classroom.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
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 06/05/2024 12:36 PM - It Cannot Be Edited


Created By: Bianca Mendez On 06/05/2024 at 12:00 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: LITTLE LIONS PRESCHOOL
FACILITY NUMBER: 045408155

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2024
Section Cited
CCR
101212(d)(1)(c)

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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
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Facility with submit a Unusual Incident Report (UIR) to CCLD and will go over reporting requirements with staff. Facility representative will submit a document verifying that staff have been trained to report unusual incidents to CCLD. Will submit documentation by 6/14/24 ro CCLD.
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(1) Events reported shall include the following:(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

Based on staff interviews: facility did not report to CCLD a unusual incident regarding C1 left on the playground during transition
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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: 06/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024


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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: LITTLE LIONS PRESCHOOL
FACILITY NUMBER: 045408155
VISIT DATE: 06/05/2024
NARRATIVE
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During today’s inspection, the facility was toured. LPA observed 59 children in care.

Based on record review and staff interviews. Facility did not not report the unusual incident in a timely manner to CCLD within the 7 day The following deficiency(ies) is being cited on the LIC809-D.

Exit interview conducted and report was reviewed with facility representative Katheen Corbett Appeal Rights were provided.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC809 (FAS) - (06/04)
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