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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455407903
Report Date: 07/16/2024
Date Signed: 07/16/2024 04:21:41 PM

Document Has Been Signed on 07/16/2024 04:21 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:LACKEY, CHEYENNE FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407903
ADMINISTRATOR/
DIRECTOR:
LACKEY, CHEYENNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 768-6397
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
07/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Cheyenne LackeyTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 7/16/24 at 3:30pm, Licensing Program Analyst (LPA) Nicolette Cunningham conducted an unannounced inspection, and met with licensee Cheyenne Lackey. Today's visit was conducted to verify the plan of correction for one Type B citations that was issued on 6/27/24 for no documentation of infant sleep checks. On 6/27/24, the licensee also received five Type B citations for a fire extinguisher that was not charged, expired mandated reporter training, no immunization records for staff, missing tb test for staff, no documentation of sleep checks, and no consent for medical treatment for children.

During today's visit LPA Cunningham toured facility and observed the licensee providing care for seven children. LPA observed documentation of infant sleep checks. Between 7/2-7/10/23, the licensee e-mailed LPA documentation of completed mandated reporter training, proof of immunization for staff, tb test results for staff, and a picture of a new fire extinguisher.

Exit interview conducted and report was reviewed with the licensee. There were no Title 22 deficiencies cited during today's inspection. Appeal rights were provided.


Notice of Site Visit shall be posted for 30 days from today's visit
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2024
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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