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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700527
Report Date: 08/27/2024
Date Signed: 08/27/2024 04:43:09 PM

Document Has Been Signed on 08/27/2024 04:43 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: 0DATE:
08/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:42 PM
MET WITH:Dawn Gaddini- Director/ Essie Day- OwnerTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
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On August 27, 2024 at approximately 3:42pm, Licensing Program Analyst (LPA) Briana Plumboy met with Director Dawn Gaddini and facilty owner Essie Day to conduct a case management inspection. The purpose of the visit was to inspect the facility, which had recently changed from active to inactive status. LPA Plumboy conducted a thorough tour of both the indoor and outdoor areas. The facility had previously been given a "Red Tag" on July 31, 2024, but it was removed by City of San Leandro inspector C. Gutierrez on August 27, 2024. LPA Plumboy verified that City of San Leandro Inspector cleared the facility and is safe to re-open.

This facility is now placed on active status as of today, August 27, 2024. No deficiency was cited during today’s visit.

A notice of the site visit was given and must remain posted for 30 days. An exit interview was conducted, appeal rights were provided and discussed, and the report was reviewed with the Director.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2024
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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