041374496-12-17-2021-13-CC-EVIA-C9ST5W-20211217132612

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 041374496
Report Date: 12/17/2021
Date Signed: 12/17/2021 09:22:29 AM

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
12/10/2021 and conducted by Evaluator Emilia Grisak

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20211210094444

FACILITY NAME:	STORYBOOK SCHOOLHOUSE		FACILITY NUMBER:	041374496
ADMINISTRATOR:	VINSONHALER, DENI		FACILITY TYPE:	850
ADDRESS:	794 E. 3RD AVENUE		TELEPHONE:	(530) 895-8793
CITY:	CHICO	STATE: CA	ZIP CODE:	95926
CAPACITY:	65	CENSUS: 18	DATE:	12/17/2021
		UNANNOUNCED	TIME BEGAN:	08:57 AM
MET WITH:	Dana Luper		TIME COMPLETED:	09:25 AM

ALLEGATION(S):

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Facility is not following COVID-19 mask requirements for children

INVESTIGATION FINDINGS:

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On 12/17/21 at 8:57am, Licensing Program Analysts (LPA) Emilia Grisak and Bianca Mendez conducted an unannounced complaint inspection, and met with Director Dana Luper. It was alleged that the facility is not following COVID-19 facial covering guidance, specifically that children in care are not wearing facial coverings.
The Director was interviewed on 12/17/21 at 9:01am and stated that the facility’s policy regarding facial coverings for children is that children are told to wear facial coverings but they can not force. The Director stated that she told parents children must bring masks and some children do but they take them off and throw them so they get dirty. Director stated that facility can not afford to keep spending money on masks. The LPAs toured the facility at 9:00am. The LPAs observed some disposable masks available at sign-in station, mask signage posted on front door, and three out of three staff observed were wearing facial coverings appropriately. There were a total of 18 children observed and 1 of them was wearing a facial covering. The children not wearing facial coverings (C1 – C17) were doing inside group activities and singing songs.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia Grisak	TELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20211210094444

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: STORYBOOK SCHOOLHOUSE	FACILITY NUMBER: 041374496
	VISIT DATE: 12/17/2021

NARRATIVE

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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.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia Grisak	TELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20211210094444

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: STORYBOOK SCHOOLHOUSE	FACILITY NUMBER: 041374496
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/17/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/22/2021 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223(a)(2) 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:	1 2 3 4 5 6 7	Director stated that she will provide parents with information regarding the requirement for children to wear facial coverings. Director will submit a plan for how this will be accomplished.
	8 9 10 11 12 13 14	Based on observations/interviews, the licensee did not ensure the personal rights of children in care in that 17 of 18children in care (C1 – C17) 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.	8 9 10 11 12 13 14
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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.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia Grisak	TELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021

LIC9099 (FAS) - (06/04)

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