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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 185407852
Report Date: 06/04/2024
Date Signed: 06/04/2024 03:32:09 PM

Document Has Been Signed on 06/04/2024 03:32 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 CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:LASSEN CTR/SIERRA CASCADE FAMILY OPPORTUNITIES INFFACILITY NUMBER:
185407852
ADMINISTRATOR/
DIRECTOR:
MCGUIRE, PAMELAFACILITY TYPE:
830
ADDRESS:478-200 HIGHWAY 139TELEPHONE:
(530) 251-4050
CITY:SUSANVILLESTATE: CAZIP CODE:
96130
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 10DATE:
06/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Pamela Mcguire - Site Supervisor TIME VISIT/
INSPECTION COMPLETED:
03:41 PM
NARRATIVE
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An unannounced case management inspection was conducted today 6/4/24 at 2:20pm by Licensing Program Analyst (LPA), Sydney Sims. LPA met with facility representative Pamela Mcguire. In response to an Unusual Incident Report received by the Department on 5/14/24. Where a grandparent accused staff S1 of restraining child C1 while C1 was in care at the facility

The facility representative was interviewed on 6/4/24 at 2:21pm and stated that on 5/8/24 Child C1 was having some behavior issues after not wanting to take a nap, and S1 was trying to help C1 calm down in the facility representative Pamela's office. S1 was sitting on the ground with C1 and asked C1 if C1 would like a hug and C1 stated yes. Facility Representative Pamela stated that at no point did S1 restrain C1 only hugged C1 with C1's permission.

Two staff were interviewed on 6/4/24 and denied the allegation. S1 - S2 stated that S1 asked C1 if C1 would like a hug while C1 was upset. S1 - S2 stated that C1 stated yes. S2 stated that S2 witnessed S1 hugging C1 on the ground and at no point did C1 ask to be let go or ask to get up. S2 stated that S1 did not restrain C1.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: LASSEN CTR/SIERRA CASCADE FAMILY OPPORTUNITIES INF
FACILITY NUMBER: 185407852
VISIT DATE: 06/04/2024
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During today’s inspection, the facility was toured and LPA observed 10 children in care.

Based on information gathered further investigation is needed.

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 Pamela Mcguire.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
LIC809 (FAS) - (06/04)
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