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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515407891
Report Date: 01/16/2024
Date Signed: 01/26/2024 10:09:38 AM

Document Has Been Signed on 01/26/2024 10:09 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:SHIELER, ELLISA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515407891
ADMINISTRATOR:SHIELER, ELLISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 551-3226
CITY:YUBA CITYSTATE: CAZIP CODE:
95991
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
01/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:44 PM
MET WITH:Ellisa Shieler, LicenseeTIME COMPLETED:
02:35 PM
NARRATIVE
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On 1/16/24 @ 1:54pm Licensing Program Analyst (LPA) E. Laird and T. Dutra conducted an unannounced case management inspection. LPA's met with licensee, Ellisa Shieler. Ellisa was watching 4 children and operating within ratio and licensing requirements.

Upon inspection, LPA's observed two infants in a pack n' play with blankets and bottles. Infants were not asleep. LPA's observed an unlocked garage which is listed as inaccessible on the facility sketch. LPA's requested an updated facility roster. Licensee stated she does not have an updated roster at this time. Based on these observations, the following citations were issued: (see LIC 809D).

A Notice of Site Visit was provided and shall remain posted for 30 days.

A copy of this report and appeal rights were provided to licensee, Ellisa Shieler.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Erica Laird
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
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 01/26/2024 10:09 AM - It Cannot Be Edited


Created By: Erica Laird On 01/26/2024 at 09:56 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: SHIELER, ELLISA FAMILY CHILD CARE HOME
FACILITY NUMBER: 515407891

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2024
Section Cited
CCR
102425(b)

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(b) Cribs or play yards shall be free from all loose articles and objects.
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LPA's discussed safe sleep regulations and provided safe sleep regulations and FAQ sheet. Licensee immediately removed all loose articles. Licensee to read safe sleep regulations and send statement of understanding to CCL by 2/16/24,
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This regulation was not met as evidence by: LPAs observed blankets and bottles in the crib while infants were present. Infants were not sleeping, which poses/posed a potential danger to children in care.
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Type B
01/16/2024
Section Cited
CCR102417(4)

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(4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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Door was locked. Licensee stated she understands the door must remain locked while children are in care. Licensee to submit a written acknowledgment of regulation to CCL by 2/16/24.
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This regulation was not met as evidence by: LPA's observed the garage door unlocked which poses/posed a potential danger to children in care.
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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: 01/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/26/2024 10:09 AM - It Cannot Be Edited


Created By: Erica Laird On 01/26/2024 at 10:03 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: SHIELER, ELLISA FAMILY CHILD CARE HOME
FACILITY NUMBER: 515407891

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2024
Section Cited
CCR
102391(d)(B)

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(d) The licensee shall permit the Department to inspect, audit, and copy children's records or other family child care home records upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: (B)The current roster of children in care as specified in Section 102417(g)(8).
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Licensee to submit a current roster to CCL by 1/23/24.
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This regulation was not met as evidence by: Licensee did not have a roster available for inspection, which poses/posed a potential risk to children in care.
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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: 01/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2024


LIC809 (FAS) - (06/04)
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