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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483007933
Report Date: 01/31/2025
Date Signed: 01/31/2025 12:40:59 PM

Document Has Been Signed on 01/31/2025 12:40 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: 22DATE:
01/31/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Melissa McMillenTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On 1/31/25 @ 11:30am, Licensing Program Analyst (LPA) Elizabeth Friese conducted an unannounced case management inspection for the purpose of citing deficiencies and met with Director Melissa McMillen. During a previous inspection, LPA Friese determined by interview that an unusual incident, specifically plumbing issues rendering staff and some children's toilets inoperable and causing flowing sewage into a play area had not been reported to parents or to DSS as regulations mandate.
The following two Type B deficiencies were cited: CCR 101212(d)(1)(C), CCR 101212(f) (see LIC 809D).

Exit interview was conducted with Director Melissa McMillen and appeal rights provided.
The notice of site visit is to be posted for 30 days.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Elizabeth Friese
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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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Document Has Been Signed on 01/31/2025 12:40 PM - It Cannot Be Edited


Created By: Elizabeth Friese On 01/31/2025 at 12:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: KIDDIE ACADEMY - P/S
FACILITY NUMBER: 483007933

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
CCR
101212(d)(1)(C)

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101212(d) Upon the occurrence...a report shall be made to the department within next working day...and a witten report within seven days.(1) Events reported shall include the following: (C) Any unusual incident... that threatens the physical or emotional health or safety of any child.
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Facility representative to review departmental reporting requirements and send letter attesting to abide by them in the future by POC date.
elizabeth.friese@dss.ca.gov
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This requirement was not met as evidence by:

No notification made to CCLD of inoperaple toilets, sewage flowing into children's play area or subsequent cleanup.
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Type B
02/28/2025
Section Cited
CCR101212(f)

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101212 Reporting Requirements
(f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
Specifically: Any unusual incident... that threatens the physical or emotional health or safety of any child.
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Facility representative to review parental reporting requirements and send letter attesting to abide by them in the future by POC date.
elizabeth.friese@dss.ca.gov
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This requirement was not met as evidenced by:

No notification made to parents of inoperable toilets, sewage flowing into children's play area or subsequent clean up.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Erin Virrueta
LICENSING EVALUATOR NAME:Elizabeth Friese
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2025


LIC809 (FAS) - (06/04)
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