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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 065402558
Report Date: 10/29/2024
Date Signed: 10/29/2024 02:44:58 PM

Document Has Been Signed on 10/29/2024 02:44 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:WILLIAMS CHILDREN'S CENTERFACILITY NUMBER:
065402558
ADMINISTRATOR/
DIRECTOR:		MARKSS, VICKIFACILITY TYPE:
850
ADDRESS:501 THEATER DRIVETELEPHONE:
(530) 473-2246
CITY:WILLIAMSSTATE: CAZIP CODE:
95987
CAPACITY: 46TOTAL ENROLLED CHILDREN: 46CENSUS: 18DATE:
10/29/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:28 AM
MET WITH:Bianca TalamantesTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
NARRATIVE
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A case management inspection was conducted today by Licensing Program Analyst (LPA), Laura Chavez. LPA met with Education Program Supervisor (EPS) Bianca Talamantes,

At 11:28am LPA entered the preschool classroom and observed Child #1 (C1) alone using the bathroom for approximately 2 1/2 minutes without visual supervision. The bathroom area which is surrounded by half walls is located between two classroom areas. Staff #1 (S1), and Staff #2 were assisting children in preparing for nap, Staff #3 was clearing lunch dishes and the volunteer was sitting at a corner table with 5 children who were finishing lunch.

The following deficiency was cited: 101229(a)(1) - Responsibility for Providing Care and Supervision.

Appeal Rights and a Notice of Site Visit was given. The Notice of Site Visit must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00. All licensing reports are public information and must be made available upon request for at least three years.

An exit interview was conducted and report was reviewed with EPS Bianca Talamantes.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2024
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 10/29/2024 02:44 PM - It Cannot Be Edited


Created By: Laura Chavez On 10/29/2024 at 12:36 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: WILLIAMS CHILDREN'S CENTER
FACILITY NUMBER: 065402558

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/29/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision : The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation.
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The Education Program Supervisor (EPS) agrees that she and staff willl review Title 22 Regulations and view the Departments website (https:/ccld.childcarevideos.org) regarding Responsibility for Providing Care and Supervision.
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This requirement is not met as evidenced by:

Based on LPA's observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
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After reviewing and viewing the information EPS agrees to provide a written statement on how she all staff will ensure that constant visual supervision will be met. The POC shall be submitted to CCLD on or by 11/29//2024. A sign-in sheet of staff provided with the training shall also be submitted.

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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:Laura Chavez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/29/2024


LIC809 (FAS) - (06/04)
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