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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125401822
Report Date: 08/30/2022
Date Signed: 08/30/2022 01:35:20 PM

Document Has Been Signed on 08/30/2022 01:35 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:HEAD START - RIO DELLFACILITY NUMBER:
125401822
ADMINISTRATOR:AMMONS, KIMFACILITY TYPE:
850
ADDRESS:95 CENTER STREETTELEPHONE:
(707) 764-3824
CITY:RIO DELLSTATE: CAZIP CODE:
95562
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Naomi FaulknerTIME COMPLETED:
02:00 PM
NARRATIVE
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On 08/30/2022 at 9:30 AM, Licensing Program Analyst (LPA) Kiriko Lynch made a case management inspection and met with Naomi Faulkner. The inspection was made in response to water lead testing results received from the California State Water Resource Control Board. The test results showed that the following faucets tested above the allowable level (5.5 ppb) of lead in the water:

Rio Dell Head Start Program –
Fixture “I” – not licensed children's restroom hand washing sink, 200 ppb

The staff have made the fixtures inaccessible by: Facility representative stated the sink is currently located in an unlicensed building next to the licensed facility, and has never been utilized by facility children. She stated the building will be added to the licensed facility upon Licensing approval, and facility has since removed and replaced sink faucet on 01/11/2022 and was retested and passed on 04/13/2022. LPA noted that facility also stated this hand washing fixture was tested due to lead tester’s discretion, and not mandated by the regulations. No deficiencies cited during today's visit due to fixture is not located at a licensed facility. Exit interview conducted and report was reviewed with the facility representative Naomi Faulkner.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Kiriko Lynch
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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