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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045407980
Report Date: 06/08/2022
Date Signed: 06/27/2022 10:09:29 AM

Unsubstantiated


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
02/23/2022 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20220223100911
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: 28DATE:
06/08/2022
UNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:Lauren ThompsonTIME COMPLETED:
08:41 AM
ALLEGATION(S):
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Child received unexplained injury while in care
Facility not reporting communicable disease
INVESTIGATION FINDINGS:
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On 6/8/22 at 8:24am, Licensing Program Analyst (LPA) Mendez conducted a subsequent visit to inspection to deliver findings and met with director Lauren Thompson. It was alleged that child received unexplained injury while in care and facility not reporting communicable disease.

The licensee Nicole Ray was interviewed on 3/1/22 at 9:37am. Licensee denied the unexplained injury while in care, she stated that the child did fall and trip and hit their face on the table and communicated with the parent regarding the injury sustained. A ouch report was created and given to parent and parent was notified by text message when the incident occurred. Licensee denied the allegation of facility not reporting any communicable disease, stating that she was not aware that any outbreaks needed to be reported to licensing.




Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
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 2
Control Number 13-CC-20220223100911
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: 06/08/2022
NARRATIVE
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LPA Mendez interviewed parent (P1-P2) regarding child having an unexplained injury while in care. P1 stated that they were informed that their child (C1) had sustained an injury on their face and spoke with licensee regarding the incident. P1 had received a text and a photo of C1’s injury. P2 stated child (C1) had a bruise on their cheek, when C1 was picked up and were notified about C1’s incident and had no concerns.

LPA Mendez interviewed two staff (S1-S2) on 3/7/22 and 3/10/22 and addressed the allegation of child that received an unexplained injury while in care. S1 stated that the child (C1) had tripped over their own two feet and hit their face on a table and wrote an ouch report and talked to parent. S2 stated that had witnessed child fall, S2 stated that C1 had tripped and fell and hit their face against the table. S1 stated that they had grabbed C1 and placed an ice pack on C1’s face and wrote an ouch report and provided one copy for the parent (P1) and one copy for C1’s file.

LPA Mendez interviewed director Lauren Thompson on 3/11/22, regarding facility not reporting communicable disease. Director Lauren Thompson stated that they sent out notices regarding foot and mouth outbreak and possibly pink eye outbreak.

LPA Mendez interviewed eight staff (S1-S8) on 3/7/22, 3/8/22, 3/10/22, 3/11/22, 3/24/22 3/29/22 and 4/12/22. LPA Mendez addressed with staff facility not reporting communicable disease, LPA Mendez asked staff (S1-S8) if parents were informed of any outbreaks and 6 out of 8 stated yes, parents were informed verbally and by letter.

LPA Mendez interviewed 20 parents on 3/2/22, 3/7/22 3/14/22, 3/15/22, 3/17/22, 3/24/22,3/28/22 and 3/29/22. LPA Mendez interviewed parents and asked if facility was communicating with families in regards to communicable disease and if they were notified. 11 out of 20 parents were notified by letter or by text message regarding communicable disease outbreaks.

During today’s visit facility was toured and observed 28 children present.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was 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: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2