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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045407980
Report Date: 01/25/2022
Date Signed: 01/25/2022 11:28:59 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/19/2022 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20220119103135
FACILITY NAME:CREATIVE SCHOLARS ACADEMY PRESCHOOLFACILITY NUMBER:
045407980
ADMINISTRATOR:RAY, NICOLEFACILITY TYPE:
850
ADDRESS:120 YELLOWSTONE DR.TELEPHONE:
(916) 753-8996
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY:58CENSUS: 24DATE:
01/25/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nikki RayTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff are not wearing masks in the facility
Children are not encouraged to wear a mask
INVESTIGATION FINDINGS:
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On 1/25/22 at 9:30 am, Licensing Program Analysts (LPA) Mendez conducted an unannounced complaint inspection, and met with owner Nicole Ray It was alleged that staff are not wearing masks in the facility and children are not encouraged to wear a mask.
The licensee/owner was interviewed on 1/25/21 at 9:40am and stated that staff are encouraged to wear masks and a notice to parents was sent out in regards to wearing masks. Licensee stated that some staff have chose not to wear a mask. LPA Mendez observed 1 out of 4 staff wearing a mask.

Continuted on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 13-CC-20220119103135
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: CREATIVE SCHOLARS ACADEMY PRESCHOOL
FACILITY NUMBER: 045407980
VISIT DATE: 01/25/2022
NARRATIVE
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LPA Mendez toured the facility at 9:45am. LPA Mendez observed preschoolers/tk classroom playing outdoors and transitioned to circle time at 10:15am and observed that none of the children were wearing a mask and were not encouraged to wear one indoors.
LPA Mendez observed COVID-19 guidelines posting and a provided with COVID-19 guidelines sent out to parents by owner/licensee.
There were a total of 24 children observed and 24 of them not wearing facial coverings. The children not wearing facial coverings (C1 – C24) were observed playing indoors.

Provider Information Notice (Pin) 21-29-CCP FACE COVERING REQUIREMENTS AND GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) was discussed and a copy was provided during the inspection

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 13-CC-20220119103135
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: CREATIVE SCHOLARS ACADEMY PRESCHOOL
FACILITY NUMBER: 045407980
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/25/2022
Section Cited
CCR
101223(a)(2)
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The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not be as evidenced by:
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Licensee will come up with a plan of correction, will send a notice to parents regarding their violation and each child needs to be provided with a mask and all staff need to be masked Will submit POC 1/27/22
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Based on observations/interviews/record reviews, not all staff were masked, the licensee did not ensure the personal rights of children in care in that 30 of children in care (C1 – C24) did not wear face coverings while in the facility, as required by the Order of the State Public Health Officer (June 11, 2021), and an individual face covering exception did not apply. This is a potential health and safety 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.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3