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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045408190
Report Date: 10/25/2023
Date Signed: 10/25/2023 12:05:13 PM

Document Has Been Signed on 10/25/2023 12:05 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: 65CENSUS: 26DATE:
10/25/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Christine McAdams, Facility AdministratorTIME COMPLETED:
12:10 PM
NARRATIVE
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On 10/25/23 @ 11:25am a Case Management inspection was made by Licensing Program Analyst (LPA) E. Laird. LPA E. Laird met with facility administrator Christine McAdams.

Based on interviews conducted on 9/21/23 and 10/13/23, staff admitted to allowing children to enter the classrooms unattended.

Based on information obtained during these interviews, the following deficiencies are being cited: Lack of Supervision. (See LIC 809D).

An exit interview was conducted with facility administrator Christine McAdams and appeal rights were provided.

A Notice of Site Visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
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 10/25/2023 12:05 PM - It Cannot Be Edited


Created By: Erica Laird On 10/25/2023 at 11:33 AM
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: 10/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/25/2023
Section Cited
CCR
101229(1)

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(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

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Facility to replace broken gate and provide pictures to CCL by 11/25/23. Facility to hold staff meeting to discuss active supervision. Agenda with attending staff signatures to be provided to CCL by 11/25/23.
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This requirement was not met as evidence by: Staff are allowing children to enter the classrooms unattended which poses a potential health and safety risk to children in care.
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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:Erica Laird
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023


LIC809 (FAS) - (06/04)
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