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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045407981
Report Date: 07/16/2024
Date Signed: 08/15/2024 04:01:05 PM

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
05/20/2024 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20240520114345
FACILITY NAME:CREATIVE SCHOLARS ACADEMY INFANT CENTERFACILITY NUMBER:
045407981
ADMINISTRATOR:RAY, NICOLEFACILITY TYPE:
830
ADDRESS:120 YELLOWSTONE DR.TELEPHONE:
(530) 809-2468
CITY:CHICOSTATE: CAZIP CODE:
95973
CAPACITY:16CENSUS: 8DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Nikki RayTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Staff are operating over ratio
Unqualified staff are providing care & supervision to children
INVESTIGATION FINDINGS:
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On 7/16/24 at 9:46am, Licensing Program Analyst (LPA) Bianca Mendez and Tammy Dutra conducted an unannounced complaint inspection and met with licensee Nikki Ray. It was alleged that Staff are operating over ratio and unqualified staff are providing care & supervision to children.
The licensee was interviewed on 5/28/24 at 7:55am and denied the allegation and stated that they have 3 main teachers in the classroom, and they always have 12 kids until another teacher comes in from the toddler room. Licensee stated that unqualified staff are not left alone and are supervised by someone who has the units and are teacher qualified.

LPA interviewed staff (S1-S6) on 5/28/24 and 6 of 6 staff stated that staff are not operating out of ratio and have infant teachers qualified in the classroom. 6 of staff stated there are no unqualified staff providing care & supervision to children. 2 of 6 staff stated they do not have infant units to be left alone with infants and are not left alone supervising infants.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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-20240520114345
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: 07/16/2024
NARRATIVE
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LPA interviewed parents (P1-P3) and 3 of 3 parents stated no staff are not operating out of ratio. 3 of 3 parents stated they were not aware if staff are qualified to watch infants.

On 5/28/24 LPA reviewed infant staff transcripts and determined based on file reviews that 2 of 3 staff in the infant classroom does not have the infant units to be left alone supervising infants. The transcripts reviewed indicate that one staff member does not have any ECE units, while there is only one qualified infant teacher who meets the necessary qualifications to supervise the infants. Therefore, the current staffing situation does not meet the required ratio and qualifications for proper infant supervision.

During today’s inspection, the facility was toured. LPA observed 3 staff and 8 infants in care.
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.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 13-CC-20240520114345
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: 07/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/16/2024
Section Cited
CCR
101416.5(b)
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101416.5 Staff-Infant Ratio: (b) There shall be a ratio of one teacher for every four infants in attendance. This regulation was not met as evidence by:
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Licensee will provide a written statement providing that they understand infant ratio requirements
https://ccld.childcarevideos.org/child-care-center-operators/teacher-child-ratios-in-child-care-centers/

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Based on record review and interviews, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to children in care.
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Licensee will submit a written statement and send to CCLD by 7/26/24
Type B
07/16/2024
Section Cited
CCR
101416.2(f)
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101416.2 Infant Care Teacher Qualifications and Duties: (f) Teachers shall visually observe aides whenever aides are working with infants, except as provided for in Section 101416.5(d)(1). This regulation was not met as evidence by:
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Licensee will provide a written statement providing that they understand and define qualification of staff.

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Based on interviews and record review, the licensee did not comply with the section cited above in which 2 of 3 staff in the infant classroom does not have infant units, which poses a potential health, safety or personal rights risk to children in care.
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Will submit written statement to CCLD by 7/26/24
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: 07/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3