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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700527
Report Date: 07/31/2024
Date Signed: 07/31/2024 01:15:04 PM

Document Has Been Signed on 07/31/2024 01:15 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: 27DATE:
07/31/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:32 AM
MET WITH:Dawn GaddiniTIME VISIT/
INSPECTION COMPLETED:
01:13 PM
NARRATIVE
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On July 31, 2024 at 9:32am Licensing Program Analysts(LPAs) Michael Mathew and Morgan Pringle along with Licensing Program Manager (LPM) Wynn Norona and San Leandro Building inspector Carlos Gutierrez conducted an unannounced case management inspection. The purpose of the inspection is to follow up on the pervious incident when the facility had flooding of sewage water.4 LPAs, LPM and City inspector met with facility director Dawn Gaddini and informed her of the purpose of the inspection. LPAs,LPM and city building Inspector toured the facility inside. There were 27 children, 3 staff members and 2 aids in care at the time of the inspection. During the tour, LPAs and LPM observed children in the toddler room which is located in the back right of the building, and in the gross motor room, located behind the entrance to the building.

At 10:45am the building inspector made a determination to red tag the building for the unsafe sanitary condition. Building inspector posted the red tag on the left side of the main door. The building need to remains closed until the center is cleared by the City of San Leandro. The owner or director will notify Licensing once the City of San Leandro clears the building.

At 1:07pm the facility was placed on inactive status effective tomorrow, 8/1/2024 - 8/30/2024. Owner was instructed she must contact Licensing prior to reopening. An inspection will be conducted to place the facility back to active status.

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.

At 1:08pm exit interview was conducted with Director Dawn Gaddini, appeal rights were given, and report was reviewed with the director

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE: DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2024
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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