525400269-9-15-2025-13-CC-BMEZ-DLJQ4M-20250915115036

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 525400269
Report Date: 09/15/2025
Date Signed: 09/15/2025 11:50:44 AM

Document Has Been Signed on 09/15/2025 11:50 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	CORNING HEAD START CENTER		FACILITY NUMBER:	525400269
ADMINISTRATOR/ DIRECTOR:	CURIEL, LAURA		FACILITY TYPE:	850
ADDRESS:	617 FIG LANE		TELEPHONE:	(530) 838-1034
CITY:	CORNING	STATE: CA	ZIP CODE:	96021
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 13	DATE:	09/15/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:45 AM
MET WITH:	Laura Curiel		TIME VISIT/ INSPECTION COMPLETED:	12:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced case management inspection was conducted today at 10:45am by Licensing Program Analyst (LPA), Bianca Mendez and Erica Laird. LPA met with facility representative Laura Curiel. In response to an Unusual Incident Report received by the Department on 9/11/25.Child (C1) was playing on the playground and was walking on a obstacle course on the play yard and slipped and cut their chin open. The facility representative was interviewed on 9/15/25 at 10:49am and stated that on 9/9/25 at 9:40am child (C1) was playing outside and was walking on the obstacle course and had slipped and hit their chin and cut their chin open which required medical attention and had immediately informed the parent (P1) of the incident. LPA interviewed Parent (P1) on 9/12/25 and stated that they were informed of the incident and took C1 to the emergency room and received 3 stitches on their chin. P1 stated they were informed their child got on top of an obstacle course which was a bit wet from moisture and that the teachers had offered to hold C1's hand but C1 had refused to hold teacher's hand. P1 stated that they had no concerns about there being a lack of supervision.

NAME OF LICENSING PROGRAM MANAGER: Megan Aviles
NAME OF LICENSING PROGRAM ANALYST: Bianca Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: CORNING HEAD START CENTER	FACILITY NUMBER: 525400269
	VISIT DATE: 09/15/2025

NARRATIVE

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LPA interviewed staff (S1-S3) on 9/15/25. 1 of 3 staff witnessed the incident. S1 stated they were with C1 during the incident. S1 stated that they were outside during outside time and was with C1, who was walking on the obstacle course and holding C1's hand and C1 wanted to walk alone without help and took a few steps forward and slipped and hit their chin on the plastic part of the obstacle course and began crying. S1 stated that C1 was holding their cheeks and S1 saw that C1 was bleeding and brought them into the classroom and placed a wet napkin on C1's chin and applied pressure. S2 and S3 stated they did not witness the incident. S2 stated they had witnessed that S1 had picked up C2 and had informed them that C1 was bleeding and was taken into the classroom.

During today’s inspection, the facility was toured. LPA took photos of the obstacle course on the play yard. LPA observed 13 children in care.

Based on interviews it was determined that there was no lack of supervision and staff had immediately notified P1 of the incident.

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 Laura Curiel.

NAME OF LICENSING PROGRAM MANAGER: Megan Aviles
NAME OF LICENSING PROGRAM ANALYST: Bianca Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025

LIC809 (FAS) - (06/04)

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