TEHAMA CENTER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25An unannounced case management inspection was conducted today at 8:56 am by Licensing Program Analyst (LPA), Bianca Mendez and Kayla Danielson. LPA met with licensee facility representative Rachel Gallagher. In response to an Unusual Incident Report received by the Department on 5/21/24. Child (C1) was left outside on the playground for an estimated time of 5 minutes while children transitioned from outside to inside. Facility representative was interviewed on 5/30/24 at 9:01am and stated that on 5/21/24 they were outside and counted the children when they were coming inside and they were responsible for counting and had counted the wrong number of children and the incident happened at 11:25am as they came inside to wash hands, transition to music and then lunch. At 11:28am children were transitioning to lunch and sat down at the lunch table with their assigned name card and then realized (C1) was outside and sent a teacher to get C1. C1 had came inside the building on their own and S2 had met with C1 at the door. Parent (P1) was interviewed on 5/29/24 at 10:50am and stated that C1 is doing okay and did cry when the incident happened. P1 stated that they were informed right away when the incident had occurred and received a call from facility representative. P1 stated that staff had miscounted and they did count but must have been off. P1 does not believe it happens often. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Bianca Mendez LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024 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 4 FACILITY NAME: TEHAMA CENTER FACILITY NUMBER: 521370103 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/30/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/30/2024 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7(a)The licensee 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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.1 2 3 4 5 6 7Will have 2 staff conducting headcounts while children are outside and have children sit at the bench and conducting second counts. Staff will conduct physical sweeps of the playground and submit a a plan to LPA of recent changes. 8 9 10 11 12 13 14This was not met as evidence by: based on interviews and record review, C1 was unsupervised for 5 minutes on the playground while class was transitioning from outside. This poses an immediate health, safety, or personal rights risk to persons in care. 8 9 10 11 12 13 14All parents should have a signed LIC 9224 in children's file for new and currently enrolled children. Plan of action to be submitted to CCL by 5/31/24 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 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:Megan Aviles LICENSING EVALUATOR NAME:Bianca Mendez LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024 FACILITY NAME: TEHAMA CENTERFACILITY NUMBER: 521370103 VISIT DATE: 05/30/2024 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 26 27 28 29 30 31 32Staff (S1-S3) were interviewed on 5/30/24. S1 stated they were not present during the incident.S1 stated they had returned from lunch at 11:25am and was not present outside on the playground. S1 stated they were on their lunch break when children were outside and children come in at 11:20am and when children were done washing their hands they go into the classroom with a teacher for music. S1 stated there is usually 2 staff assisting with handwashing. S1 stated that S2 noticed that C1 was missing from their table during lunch time. S1 stated that C1 was missing for not even 5 minutes. S2 stated that they were not outside when children were outside. S2 stated that they noticed at their table during lunch that C1 was not there. S2 stated that all children have a name tag at their table and asked staff if C1 had went home and scanned the classroom and did not see C1 there. S2 was going to head outside and then C1 had opened the door and walked into the building. S3 stated that they came inside the building with another child, they are usually are the first ones to come inside and wash their han

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25An unannounced case management inspection was conducted today at 8:56 am by Licensing Program Analyst (LPA), Bianca Mendez and Kayla Danielson. LPA met with licensee facility representative Rachel Gallagher. In response to an Unusual Incident Report received by the Department on 5/21/24. Child (C1) was left outside on the playground for an estimated time of 5 minutes while children transitioned from outside to inside. Facility representative was interviewed on 5/30/24 at 9:01am and stated that on 5/21/24 they were outside and counted the children when they were coming inside and they were responsible for counting and had counted the wrong number of children and the incident happened at 11:25am as they came inside to wash hands, transition to music and then lunch. At 11:28am children were transitioning to lunch and sat down at the lunch table with their assigned name card and then realized (C1) was outside and sent a teacher to get C1. C1 had came inside the building on their own and S2 had met with C1 at the door. Parent (P1) was interviewed on 5/29/24 at 10:50am and stated that C1 is doing okay and did cry when the incident happened. P1 stated that they were informed right away when the incident had occurred and received a call from facility representative. P1 stated that staff had miscounted and they did count but must have been off. P1 does not believe it happens often. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Bianca Mendez LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024 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 4 FACILITY NAME: TEHAMA CENTER FACILITY NUMBER: 521370103 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/30/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/30/2024 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7(a)The licensee 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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.1 2 3 4 5 6 7Will have 2 staff conducting headcounts while children are outside and have children sit at the bench and conducting second counts. Staff will conduct physical sweeps of the playground and submit a a plan to LPA of recent changes. 8 9 10 11 12 13 14This was not met as evidence by: based on interviews and record review, C1 was unsupervised for 5 minutes on the playground while class was transitioning from outside. This poses an immediate health, safety, or personal rights risk to persons in care. 8 9 10 11 12 13 14All parents should have a signed LIC 9224 in children's file for new and currently enrolled children. Plan of action to be submitted to CCL by 5/31/24 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 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:Megan Aviles LICENSING EVALUATOR NAME:Bianca Mendez LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024 FACILITY NAME: TEHAMA CENTERFACILITY NUMBER: 521370103 VISIT DATE: 05/30/2024 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 26 27 28 29 30 31 32Staff (S1-S3) were interviewed on 5/30/24. S1 stated they were not present during the incident.S1 stated they had returned from lunch at 11:25am and was not present outside on the playground. S1 stated they were on their lunch break when children were outside and children come in at 11:20am and when children were done washing their hands they go into the classroom with a teacher for music. S1 stated there is usually 2 staff assisting with handwashing. S1 stated that S2 noticed that C1 was missing from their table during lunch time. S1 stated that C1 was missing for not even 5 minutes. S2 stated that they were not outside when children were outside. S2 stated that they noticed at their table during lunch that C1 was not there. S2 stated that all children have a name tag at their table and asked staff if C1 had went home and scanned the classroom and did not see C1 there. S2 was going to head outside and then C1 had opened the door and walked into the building. S3 stated that they came inside the building with another child, they are usually are the first ones to come inside and wash their han

Type A citation - immediate risk to health, safety, or personal rights