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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045407980
Report Date: 06/08/2022
Date Signed: 06/08/2022 09:38:26 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
03/01/2022 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20220301161202
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:
08:26 AM
MET WITH:Lauren ThompsonTIME COMPLETED:
09:37 AM
ALLEGATION(S):
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Staff are not changing children's diapers
Facility is out of ratio
INVESTIGATION FINDINGS:
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On 6/8/22 at 8:26am, Licensing Program Analyst (LPA) Mendez conducted a subsequent visit to deliver findings, and met with director Lauren Thompson. It was alleged that staff are not changing children’s diapers and facility is operating out of ratio.

The licensee was interviewed at 10:15am on 3/8/22 and licensee denied the allegation that staff are not changing infant's diapers, licensee stated that they have a potty chart and have a schedule that includes their bathroom time when children are changed. Licensee denied the allegation that facility is out of ratio, licensee stated numbers have been low recently since children have been out sick.
LPA Mendez interviewed director Lauren Thompson on 3/11/22, she stated they have a diaper chart on a dry erase chart and at the end of the week they erase it. She stated between 8 or 9 children were in the process of potty training.
Substantiated
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 3
Control Number 13-CC-20220301161202
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 seven staff (S1-S8) on 3/7/22 3/8/22, 3/10/22/, 3/11/22, and 3/29/22. LPA Mendez asked staff if they were changing children’s diapers or pull ups. Four out of eight staff members stated no, regarding staff changing children’s diapers. S1 stated that there was no consistent schedule for diaper changes and there were only 4 scheduled diaper changes throughout the entire day. S2 stated that staff were not changing children’s diapers and did not have a log. S6 stated staff were not changing children’s diapers. S7 stated that staff did not change children’s diapers as needed and throughout the entire day children were changed 4 times a day.
LPA Mendez interviewed 19 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 asked parents if staff had been changing children’s diapers. Five out of the 18 parents confirmed that their child does not wear diapers. LPA Mendez asked parents if they had ever received a diaper log from the facility. It was 15 out of 19 parents that confirmed that they do not receive diaper logs.


LPA Mendez interviewed seven staff (S1-S8) on 3/7/22, 3/8/22, 3/10/22, 3/11/22, 3/29/22 and 4/12/22.
LPA Mendez interviewed staff and asked if the facility was operating out of ratio, 3 out of 8 staff had confirmed that the facility was operating out of ratio.
LPA Mendez interviewed 19 parents on 3/2/22, 3/7/22 3/14/22, 3/15/22, 3/17/22, 3/24/22,3/28/222 and 3/29/22.
LPA Mendez asked parents if facility was operating out of ratio 13 out of 19 parents had witnessed facility operating out of ratio and staff shortages.

LPA Mendez observed that there was an erasable potty chart and that there was no diaper log being sent home to parents whose children wear diapers or pull ups.
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: 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 3
Control Number 13-CC-20220301161202
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: 06/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
06/08/2022
Section Cited
CCR
101216.3(a)(1)
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Teacher Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

(1) The number of children in attendance shall not exceed licensed capacity.
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Licensee/director will ensure that they have they meet the teacher ratio requirements with qualified staff and adjust scheduling for staff. Plan of correction shall be submitted to LPA Mendez by 6/17/22
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This requirment was not met based on interviews. Facility was operating ouf of ratio.
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Deficiency Dismissed
Type B
06/08/2022
Section Cited
CCR
101223(a)(3)
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a) The licensee shall ensure that each child is accorded the following personal rights:
3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat,
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Licensee/director will implement potty training schedule and ensure that staff are checking periodically and log in documeting potty training and having a hard copy on file. Plan of correction will be submitted to LPA Mendez on 6/17/22.
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mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning
This requirement was not met by as evidence no copies of diaper logs were avaiilable..

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

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