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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 475406362
Report Date: 08/23/2024
Date Signed: 08/23/2024 12:47:53 PM

Document Has Been Signed on 08/23/2024 12:47 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
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:ROTH, PEGGY FAMILY CHILD CARE HOMEFACILITY NUMBER:
475406362
ADMINISTRATOR/
DIRECTOR:		ROTH, PEGGYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 598-8805
CITY:YREKASTATE: CAZIP CODE:
96097
CAPACITY: 14TOTAL ENROLLED CHILDREN: 1CENSUS: 1DATE:
08/23/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:55 AM
MET WITH:Peggy Roth, Licensee TIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On 8/23/24 at 11:55am, Licensing Program Analyst (LPA) Nicolette Cunningham and Elizabeth Friese conducted an unannounced inspection, and met with licensee Peggy Roth. Today's inspection was conducted to verify the plan of correction for six Type A and eight Type B citations that were issued on 8/15/24. Plan of corrections for the Type A citations were due on 8/16/24. LPA Cunningham did not receive any communication from the licensee after the 8/15/24 inspection.

Type A issued on 8/15/24 - odor in home
During today’s inspection, the licensee stated she purchased a new carpet cleaner and cleaned the carpets. LPA Cunningham noted the urine and animal odor in the home was less significant than it was on 8/15/24. LPAs observed two fish tanks which were recently cleaned, and the litter box was removed from the bathroom.

Type A issued on 8/15/24 – inadequate sleeping environment
During today’s inspection, LPAs observed one child napping on a cot on the floor in the playroom. The licensee stated naptime is after lunch time.

Type A – home not clean and orderly –The licensee stated she purchased a carpet cleaner and used it to shampoo the floors. LPAs did not observe dirty dishes in the kitchen or food left out. LPAs observed four dogs use a puppy pad to go to the bathroom in an off-limit area and the licensee immediately remove the puppy pad.

*Continued on 809C
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
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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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: ROTH, PEGGY FAMILY CHILD CARE HOME
FACILITY NUMBER: 475406362
VISIT DATE: 08/23/2024
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Type A issued on 8/15/24 – medication accessible to children
During today’s inspection, the licensee stated she now stores all medication in her bedroom which was made off-limits with a door knob cover.

Type A issued on 8/15/24 - weapon accessible to children
During today’s inspection, LPAs observed the sword in a locked cabinet. LPA reviewed regulation 102417(g)4(a) and the licensee stated she understands that weapons need to be locked when children are in care.

Type A issued on 8/15/24 – unsafe equipment accessible to children.
During today’s inspection, the licensee stated the garden shears and sharp rake are in an off-limit area. LPAs did not observe unsafe equipment accessible to children.

Type B citations issued on 8/15/24
During today’s inspection, the licensee stated she will e-mail or mail proof of correction for the Type B citations.

There were no deficiencies cited during today’s inspection.


Exit interview conducted and report was reviewed with the licensee. There were no Title 22 deficiencies cited during today's inspection. Appeal rights were provided.

Notice of Site Visit shall be posted for 30 days from today's visit
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC809 (FAS) - (06/04)
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