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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045408190
Report Date: 01/04/2023
Date Signed: 01/05/2023 03:56:35 PM

Document Has Been Signed on 01/05/2023 03:56 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-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:STORYBOOK SCHOOLHOUSE: PRESCHOOL & DAYCAREFACILITY NUMBER:
045408190
ADMINISTRATOR:MILLER, HEATHERFACILITY TYPE:
850
ADDRESS:794 E 3RD AVETELEPHONE:
(619) 377-4444
CITY:CHICOSTATE: CAZIP CODE:
95926
CAPACITY: 65TOTAL ENROLLED CHILDREN: 26CENSUS: 18DATE:
01/04/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:31 PM
MET WITH:Heather MillerTIME COMPLETED:
04:25 PM
NARRATIVE
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On 1/4/2023 at 3:31pm, Licensing Program Analysts (LPAs) Laura Chavez and Pearl DiGenova conducted a Case Management inspection. Based on a record review on Guardian Background Check System the licensee failed to obtain a criminal record clearance prior to allowing Staff #1 (S1) to work at the facility, which posed an immediate health, safety, or personal rights risk to children in care.

LPAs Chavez and DiGenova informed Director Heather Miller that this report dated 1/4/2023 documents one Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA's Chavez and DiGenova informed Director Miller to provide a copy of this licensing report dated 1/4/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.



Exit interview was conducted and the report was reviewed with Director Heather Miller.

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.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Pearl DiGenova
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2023
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 01/05/2023 03:56 PM - It Cannot Be Edited


Created By: Pearl DiGenova On 01/04/2023 at 02:19 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: STORYBOOK SCHOOLHOUSE: PRESCHOOL & DAYCARE
FACILITY NUMBER: 045408190

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/05/2023
Section Cited
CCR
101179(e)(1)

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Criminal Record Clearance:All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department.
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Director Heather Miller agrees to ensure all future employees have obtained a background clearance prior to allowing them to worki at the facility. Regular Guardian Background Check Systems will also be done. The plan of correction shalll be submitted to CCLD on or by 1/5/2023.
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This requirement was not met as evidenced by: The facility failing to obtain a criminal record clearance prior to allowing S1 to work at the facility.
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Civil Penalty assessed.

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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:Pearl DiGenova
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023


LIC809 (FAS) - (06/04)
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