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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115401511
Report Date: 06/20/2024
Date Signed: 06/20/2024 09:14:03 AM

Document Has Been Signed on 06/20/2024 09:14 AM - 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:TEHAMA STREET CHILDREN'S CENTER-TODDLER PROGRAMFACILITY NUMBER:
115401511
ADMINISTRATOR/
DIRECTOR:
CALLAHAN, SHERRYFACILITY TYPE:
830
ADDRESS:545 N. TEHAMA STREETTELEPHONE:
(530) 934-6126
CITY:WILLOWSSTATE: CAZIP CODE:
95988
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 9DATE:
06/20/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:32 AM
MET WITH:Isabel CastilloTIME VISIT/
INSPECTION COMPLETED:
09:20 AM
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An unannounced case management inspection was conducted today at 8:32 am by Licensing Program Analyst (LPA), Tammy Dutra. LPA met with facility representative Isabel Castillo in response to an Unusual Incident Report where C1 slipped and fell biting their lip and causing a cut that bled. C1 was taken to the doctor to assess the wound. Incision did not require stitches.

The facility representative was interviewed on 6/20/24 at 8:46am and stated that on 6/11/2at 10:20am C1 was outside playing with water and attempted to sit on a metal picnic table with a toy bus in their hand and fell hitting their chin on the table causing C1 to cut top lip with teeth and causing the wound to bleed. Facility representative stated that there were three staff present during the incident and 6 children in care. LPA obtained contact information for parent and staff not available to interview at this time.
During today’s inspection, the facility was toured LPA observed 9 children in care

There were no deficiencies cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Isabel Castillo.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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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