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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455406440
Report Date: 01/07/2022
Date Signed: 01/07/2022 05:03:54 PM

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
12/30/2021 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20211230084846
FACILITY NAME:BOULDER CREEK YMCA AFTERSCHOOL PROGRAMFACILITY NUMBER:
455406440
ADMINISTRATOR:SWEETWOOD, MARIANNEFACILITY TYPE:
840
ADDRESS:505 SPRINGER DRIVETELEPHONE:
(530) 246-9622
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:90CENSUS: 32DATE:
01/07/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Marianne SweetwoodTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility is not following COVID-19 mask guidance
INVESTIGATION FINDINGS:
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On 1/7/22 at 2:00pm Licensing Program Analysts (LPA) Mendez conducted an unannounced complaint inspection, and met with director Marianne Sweetwood. 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 licensee/director was interviewed on 1/7/22 at 2:11pm and stated that the facility’s policy follows the school's mask policy and students are required to wear mask indoors and have a written policy requiring students to mask up.The director has provided information provided to parents and a COVID-19 screening agreement for afterschool participants.The director stated that facility staff attempt to keep children wearing their facial coverings by providing masks and encouraging them to wear masks.
The LPA Mendez toured the facility at 2:19pm and observed 10 out of 20 children playing in the gym wearing a mask. At 2:23pm LPA Mendez observed 12 out of 12 children in the classroom wearing a mask. A total of 22 out of 32 children had masks on. LPA Mendez observed a total of 6 staff wearing a mask indoors.


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

DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
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-20211230084846
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: BOULDER CREEK YMCA AFTERSCHOOL PROGRAM
FACILITY NUMBER: 455406440
VISIT DATE: 01/07/2022
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.

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. Appeal rights were provided and 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: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3