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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 585401282
Report Date: 05/05/2023
Date Signed: 05/05/2023 11:46:02 AM

Document Has Been Signed on 05/05/2023 11:46 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:KIDS COUNTRY CARELANDFACILITY NUMBER:
585401282
ADMINISTRATOR:WEBB, LENAFACILITY TYPE:
850
ADDRESS:900 OLIVE STREETTELEPHONE:
(530) 633-9369
CITY:WHEATLANDSTATE: CAZIP CODE:
95692
CAPACITY: 68TOTAL ENROLLED CHILDREN: 68CENSUS: 48DATE:
05/05/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:24 AM
MET WITH:Lena Webb, DirectorTIME COMPLETED:
12:00 PM
NARRATIVE
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On 5/5/23 @ 11:24am an unannounced case management visit was conducted to the facility by Licensing Program Analyst (LPA) E. Laird. On 4/28/23 LPA Laird was notified the facility had experienced an outbreak of a contagious illness which resulted in 11 children becoming ill. The facility failed to notify the department as required. Facility director Lena Webb stated she was unaware of the requirement to notify the department when the facility is experiencing an outbreak of a contagious illness.

The following violation of the California Code of Regulations, Title 22; Division 12, was cited: see LIC 809D


Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2023
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 05/05/2023 11:46 AM - It Cannot Be Edited


Created By: Erica Laird On 05/05/2023 at 11:32 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
, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: KIDS COUNTRY CARELAND

FACILITY NUMBER: 585401282

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/05/2023
Section Cited
CCR
101212(d)(1)(E)

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Upon the occurrence... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information...shall be submitted to the Department within seven days following the occurrence of such event.(1)Events reported shall include the following:(E) Epidemic outbreaks.
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Director to hold an all-staff meeting and train staff on reporting requirements. Meeting agenda and signatures of all staff in attendance to be provided to CCL by 6/5/23.
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This requirement was not met as evidenced by: during an interview it was determined the facility had experienced an outbreak of hand-foot-mouth and did not notify the department or public health, which poses a potential risk to the health and safety of children in care.
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Recommended resource for Reporting Requirements training:
https://ccld.childcarevideos.org/child-care-center-operators/child-care-reporting-requirements/

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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:Megan Aviles
LICENSING EVALUATOR NAME:Erica Laird
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2023


LIC809 (FAS) - (06/04)
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