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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700527
Report Date: 04/08/2024
Date Signed: 04/08/2024 12:57:55 PM

Document Has Been Signed on 04/08/2024 12:57 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CREATIVE WORLDFACILITY NUMBER:
015700527
ADMINISTRATOR/
DIRECTOR:		BRUMFIELD, AZIZAFACILITY TYPE:
850
ADDRESS:14830 WASHINGTON AVENUETELEPHONE:
(510) 567-3733
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 26DATE:
04/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:11 AM
MET WITH:Aziza BrumfieldTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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On 04/08/2024 at 9:11am, Licensing Program Analysts (LPAs) Christina Uribe & Morgan Pringle conducted an unannounced Case Management visit and met with Director, Aziza Brumfield. Also present at the time of the inspection is 3 staff members and 26 children. The purpose of today's visit was to investigate a complaint and during the course of the investigation, LPAs found deficiencies unrelated to the complaint resulting in this case management report.

At around 10:00am, LPA Uribe toured the facility for a secondary count of children present in care. While in the Toddler classroom, the director informed LPA Uribe that two staff members had taken the preschool class on a walking field trip with 15 children. During record review, LPAs determined that the two staff members that are with the preschoolers on the walking field trip are both unqualified and considered aides. Due to the classroom being out of ratio away from the facility and aides supervising children without the direct supervision of a fully qualified teacher, two Type B Violations are being cited today. Please see deficiency pages LIC 809D for additional information and plan of correction. Plan of correction is due on 04/11/2024.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeals rights were given and reviewed. Exit interview was conducted and report was reviewed with the director, Aziza Brumfield.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/08/2024 12:57 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Christina Uribe On 04/08/2024 at 10:36 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CREATIVE WORLD
FACILITY NUMBER: 015700527

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
04/11/2024
Section Cited
CCR
101216.3(a)

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101216.3: Teacher-Child Ratio (a) There shall be a ratio of one teacher visiually observing and supervising no more than 12 children in attendance.

This requirement was not met as evidenced by:
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Director will have staff members who need courses research upcoming courses that they need to complete their required ECE units to be a fully qualified teacher. The staff will write a letter of intent to complete these courses including where the course is held, the start and end date of the course, and the course
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During today's visit, LPAs observed two aides supervising 15 children alone without the direct supervision of a fully qualified teacher which poses a potential risk to the health, safety, or personal rights to children in care.
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description. Director will email these letters of intent, the current transcripts, and Personnel Record (LIC 501) for these staff members with an exception letter request to LPA Pringle at morgan.pringle@dss.ca.gov no later than the due date of 04/11/2024.
Under Appeal
Type B
04/11/2024
Section Cited
CCR101216.3(a)(2)

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101216.3: Teacher-Child Ratio (a)(2) Whenever children are engaged in activities away from the center, no teacher shall be in charge of a group of more tha 12 children.

This requirement was not met as evidenced by:
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Director will create a plan of action for field trips including explaning the ratio requirements for field trips while maintaining ratio for staff back at the facility. Director will email a copy of this written statement plan of action to LPA Pringle at morgan.pringle@dss.ca.gov
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During today's visit, LPAs observed two aides supervising 15 children alone without the direct supervision of a fully qualified teacher on a walking field trip away from the center which poses a potential risk to the health, safety, or personal rigths to children in care.
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no later than the due date of 04/11/2024.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chandra Charles
LICENSING EVALUATOR NAME:Christina Uribe
LICENSING EVALUATOR SIGNATURE:
DATE: 04/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/08/2024


LIC809 (FAS) - (06/04)
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