313623785-9-27-2021-03-CC-KPES-C7CSD9-20210930134642

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313623785
Report Date: 09/27/2021
Date Signed: 09/27/2021 01:42:05 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/20/2021 and conducted by Evaluator Amanda Blesi

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210920114154

FACILITY NAME:	LILY PAD EARLY LEARNING CENTER		FACILITY NUMBER:	313623785
ADMINISTRATOR:	THATCHER, STACI		FACILITY TYPE:	850
ADDRESS:	3330 CHISOM TRAIL		TELEPHONE:	(530) 863-9443
CITY:	LOOMIS	STATE: CA	ZIP CODE:	95650
CAPACITY:	30	CENSUS: 15	DATE:	09/27/2021
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Staci Thatcher		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility is not following COVID-19 mask guidance

INVESTIGATION FINDINGS:

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LPA Amanda Blesi met with director, Staci Thatcher to open the complaint. Owner Michelle Zemlicka arrived later at 1:20 p.m. to assist with the inspection. Upon arrival, there were 15 napping preschool children supervised by 3 staff. The allegation states facility is not following COVID-19 guidance by staff and children not wearing a face covering while indoors. LPA observed that staff in the facility today were not wearing a face covering. Director states they will refuse to wear a face covering unless it is mandated by the state. Based on observation and interviews, children and staff do not wear face coverings while in the facility, as required by the California Department of Public Health Guidance on the Use of Face Coverings updated on 07/28/21, therefore the allegation is determined to be substantiated, meaning that the preponderance of evidence standard has been met.

A Technical Advisory note was issued to the facility
Exit interview with Michelle and Staci
Appeal Rights Provided
Exit interview conducted.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda Blesi	TELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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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