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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483007933
Report Date: 07/19/2024
Date Signed: 07/19/2024 01:49:57 PM

Document Has Been Signed on 07/19/2024 01:49 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:KIDDIE ACADEMY - P/SFACILITY NUMBER:
483007933
ADMINISTRATOR/
DIRECTOR:
MCMILLEN, MELISSAFACILITY TYPE:
850
ADDRESS:880 ALAMO DRIVETELEPHONE:
(707) 446-4222
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 32DATE:
07/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Holly Lewis, site supervisorTIME VISIT/
INSPECTION COMPLETED:
02:05 PM
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An unannounced case management inspection was conducted today 7/19/24 at 1:15pm by Licensing Program Analyst (LPA), Elizabeth Friese. LPA Friese met with Site Supervisor Holly Lewis in response to an Unusual Incident Report received by the Department on 7/18/24 which stated that a child (C1) had injured their foot jumping off of a piece of furniture at the facility.

Holly and 2 staff (S1-S2) were interviewed on 7/19/24 at 1:20pm and stated that staff was providing supervision at the time of the incident which occurred in the kitchen play area of the "Sharks" room. Holly and S1 were not on site when the injury occurred but were familiar with the incident, and reported that C1's parents had taken them to the doctor yesterday, and it was determined that a previous injury from 7/4/24 was probably aggravated by the jumping. S2 was on site and reported that C1 had jumped from the "pantry" component of the play kitchen, approximately 32" high. Pantry has been turned to face the wall. By all accounts C1 is doing fine today. Play equipment is age appropriate and being utilized according to the manufacturer's guidelines.

During today’s inspection, the facility was toured and LPA observed 32 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 Holly Lewis, site supervisor.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Elizabeth Friese
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2024
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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