515000683-2-23-2021-25-AS-RLBN-BYPUXM-20210301145833

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515000683
Report Date: 02/23/2021
Date Signed: 02/23/2021 10:38:46 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., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/18/2020 and conducted by Evaluator Misty Valencia

PUBLIC

COMPLAINT CONTROL NUMBER: 25-AS-20201218110824

FACILITY NAME:	COURTYARD, THE		FACILITY NUMBER:	515000683
ADMINISTRATOR:	PICKARD, CAROL		FACILITY TYPE:	740
ADDRESS:	1240 WILLIAMS WAY		TELEPHONE:	(530) 790-3050
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95991
CAPACITY:	80	CENSUS: 48	DATE:	02/23/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Carol Pickard, Administrator		TIME COMPLETED:	11:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is in disrepair

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Misty Valencia contacted the facility via telephone to conclude a complaint investigation on 2/23/2021 due to COVID-19 and pre-cautionary measures. LPA identified herself and discussed the purpose of the call and the elements of the complaint withn Carol Pickard, Administer. LPA interviewed Administrator, complainant and after interviews, LPA concluded that Pickard did everything she could to get the internet/cable working as soon as possible. Based on information obtained, LPA finds the above allegation to be UNSUBSTANTIATED- A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
There are no deficiencies being cited per Title 22 Regulations, Division 6, Chapter 8. Exit interview conducted. Appeal rights were printed and given to Administrator. A copy of this report was emailed to the Administrator to review, sign and send back

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5991
LICENSING EVALUATOR NAME: Misty Valencia	TELEPHONE: (530) 895-5820
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021

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 2