<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 570306437
Report Date: 10/24/2024
Date Signed: 10/24/2024 12:13:50 PM

Document Has Been Signed on 10/24/2024 12:13 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CENTER FOR CHILD & FAMILY STUDIESFACILITY NUMBER:
570306437
ADMINISTRATOR/
DIRECTOR:		KELLY TWIBELLFACILITY TYPE:
850
ADDRESS:238 FIRST STREETTELEPHONE:
(530) 752-2888
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: DATE:
10/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Kelly TwibellTIME VISIT/
INSPECTION COMPLETED:
12:30 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
On October 24, 2024 Licensing Program Analysts (LPA) Jennie Tedlos met with Program Director, Kelly Twibell (D1) to follow up on an Unusual Incident Report (UIR) submitted to Community Care Licensing on October 22, 2024.

On October 22, 2024 an incident occurred, during outside dismissal time, a child (C1) exited a classroom gate unsupervised, then walked out of the entrance gate which was left open by a guardian entering the facility. The child continued to walk down the facility's sidewalk adjacent to the parking lot. The guardian notified a nearby teacher (T1) that the child exited the facility. T1 ran to the child and stayed with them until D1 was able to bring the child back to their class.

LPA conducted interviews that support the reported incident. Per D1, immediately following the incident, corrective actions have taken place by the facility, guardians have been notified and reminded of gate safety, and staff training has been scheduled regarding supervision. The facility has also put a carabiner clip on the classroom gate to prevent children from opening it and have created a new strategy for outside dismissals.

A deficiency is being cited based on LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. A Type A violation regarding Supervision has been assessed.

Upon receipt of Type A citations, facility shall post and provide copies of the LIC 809D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed LIC 9224, Acknowledging Receipt of Licensing Reports LIC 809D in each child's files.



An exit interview was conducted and Plans of Correction were reviewed and developed with the Director, Kelly Twibell. A copy of this report and appeal rights were discussed and left with the Director. A notice of site visit was provided and posted by LPA and must remain posted for 30 days.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 10/24/2024 12:13 PM - It Cannot Be Edited


Created By: Jennie Tedlos On 10/24/2024 at 11:42 AM
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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CENTER FOR CHILD & FAMILY STUDIES
FACILITY NUMBER: 570306437

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision (a)... shall provide care and supervision as necessary to meet the children's needs. (1)No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
1
2
3
4
5
6
7
The Director has implemented different dismissal and supervision strategies, installed a carabiner to prevent children from opening the gate, informed parents about gate safety and planned staff trainings. LPA cleared the deficiency.
8
9
10
11
12
13
14
This requirement has not been met as evidenced by:

Facility self-reported an incident where a child exited the facility unsupervised. This is considered an immediate health, safety, or personal rights risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Karyn Guerra
LICENSING EVALUATOR NAME:Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2