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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045407981
Report Date: 06/08/2022
Date Signed: 06/08/2022 09:06:01 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-20220301165128
FACILITY NAME:CREATIVE SCHOLARS ACADEMY INFANT CENTERFACILITY NUMBER:
045407981
ADMINISTRATOR:RAY, NICOLEFACILITY TYPE:
830
ADDRESS:120 YELLOWSTONE DR.TELEPHONE:
(916) 753-8996
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY:16CENSUS: 13DATE:
06/08/2022
UNANNOUNCEDTIME BEGAN:
08:18 AM
MET WITH:Lauren ThompsonTIME COMPLETED:
09:04 AM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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On 6/8/22 at 8:18am , Licensing Program Analyst (LPA) Mendez conducted subsequent visit to deliver findings and met with director Lauren Thompson. It was alleged that facility is out of ratio.
The licensee was interviewed on 3/8/22 at 10:15am. 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 on 3/11/22 at 12:05pm and asked if facility has been operating out of ratio and she stated no, she often goes to other classrooms to support them.

LPA Mendez interviewed 11 parents on 3/14/22 and 3/15/22, 3/16/22, 3/17/22 and 3/18/22. LPA Mendez asked parents if they have witnessed facility operating out of ratio seven out of 11 parents stated facility was within ratio. Three parents out the 11 parents stated were unsure if the facility was operating out of ratio and one parent out of eleven parents stated that facility was out of ratio. Six parents out of 11 parents stated that the facility was having issues with a staff shortage.



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-20220301165128
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 INFANT CENTER
FACILITY NUMBER: 045407981
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
06/08/2022
Section Cited
CCR
101416.5(b)
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Staff Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.

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Licensee/director will ensure that they meet ratio requirements with their list of fully qualified staff and update personnel files for those qualified and submit to LPA Mendez their plan of correction by 6/17/22
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This requirement was not met as evidenced based on LPA’s interviews.
Licensee did not ensure that staff were within ratio.
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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)
Page: 2 of 3
Control Number 13-CC-20220301165128
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 INFANT CENTER
FACILITY NUMBER: 045407981
VISIT DATE: 06/08/2022
NARRATIVE
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LPA Mendez interviewed six staff (S1-S6) on 3/7/22, 3/8/22, 3/10/22, 3/17/22 and 3/29/22. LPA Mendez asked if they had been operating out of ratio, 3 out of 6 staff stated they had been operating out of ratio. LPA Mendez asked staff how often the facility was out of ratio. S1 stated that there were 14 children and 3 staff in the classroom putting them out of ratio with the infants. S2 stated that they were out of ratio and it occurred at least 2 to 3 times a week. S6 stated they were out of ratio in the infant room 4 out of 5 days a week.
LPA Mendez toured facility and observed 13 infants in care and four staff present.

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: 3 of 3