115405947-10-23-2026-13-CC-ELAD-DZ5NEJ-20261023102401

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 115405947
Report Date: 10/23/2026
Date Signed: 10/23/2026 10:24:10 AM

Document Has Been Signed on 10/23/2026 10:24 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:	VILLA AVENUE HEAD START		FACILITY NUMBER:	115405947
ADMINISTRATOR/ DIRECTOR:	AISENBREY, JANICE		FACILITY TYPE:	850
ADDRESS:	451 S Villa Avenue		TELEPHONE:	(530) 934-6596
CITY:	Willows	STATE: CA	ZIP CODE:	95988
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 20	CENSUS: 16	DATE:	10/23/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Kelsie Alvernaz, teacher/director		TIME VISIT/ INSPECTION COMPLETED:	10:38 AM

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 9:00am by Licensing Program Analyst (LPA), Erica Laird. LPA met with teacher/director Kelsie Alvernaz in response to an Unusual Incident Report received by the Department on 10/14/26. Per the incident report, a child (C1) reported to a parent (P1) that another child had put their hand in C1's diaper. On 10/23/26 LPA Laird conducted an interview at the facility with teacher/director Kelsie Alvernaz. Kelsie stated as soon as she was notified of the incident she spoke to all staff. None of the staff observed a child touch C1 in an inappropriate manner. Kelsie stated C1 never mentioned anything to staff and staff did not observe C1 acting upset that day. Kelsie stated staff had constant supervision of all children in care on the day the alleged incident occurred. On 10/23/26 LPA Laird conducted 2 staff interviews (S1-S2). Both staff stated they were present on the date of the alleged incident and they did not observe a child touch C1 in an inappropriate manner. Both staff stated staff have constant supervision of children. Both staff stated the facility does not have any blind spots and that staff can see the children at all times. S2 stated they did a diaper change for C1 on the date of alleged incident and did not observe any signs of irritation or redness.

Megan Aviles
Erica Laird
	DATE: 10/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2026

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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: VILLA AVENUE HEAD START	FACILITY NUMBER: 115405947
	VISIT DATE: 10/23/2026

NARRATIVE

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During today’s inspection, the facility was toured and documentation was obtained. LPA Laird observed 5 staff actively supervising 16 children in care. LPA Laird toured the facility and did not see any blind spots in the classroom or on the playground.

There were no deficiencies cited during today’s inspection. Exit interview conducted and report was reviewed with teaher/director Kelsie Alvernaz.

Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

NAME OF LICENSING PROGRAM MANAGER: Megan Aviles
NAME OF LICENSING PROGRAM ANALYST: Erica Laird
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2026

LIC809 (FAS) - (06/04)

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