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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418104
Report Date: 09/23/2024
Date Signed: 09/23/2024 01:33:55 PM

Document Has Been Signed on 09/23/2024 01:33 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CREATIVE CENTER FOR CHILDRENFACILITY NUMBER:
197418104
ADMINISTRATOR/
DIRECTOR:		TRACEY RENSONFACILITY TYPE:
850
ADDRESS:10547 SANTA MONICA BLVD.TELEPHONE:
(310) 475-9004
CITY:LOS ANGELESSTATE: CAZIP CODE:
90025
CAPACITY: 68TOTAL ENROLLED CHILDREN: 68CENSUS: 35DATE:
09/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Assistant Director, Trisha MarlisaTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 09/23/2024 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management inspection at the above-mentioned facility for the purpose of ensuring that standards are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes.

LPA Laureano met with Trisha Marlisa Assistant Director and toured the facility both indoors and outdoors. LPA observed 35 children and 5 staff members, including assistant director providing care and supervision.

LPA confirmed all adults have a valid criminal record clearance. LPA Laureano is following up on a self reporting incident that occurred at facility on approximately 9/16/2024. Incident report state that Child 1 shared with parent that Staff 1 hit a child. LPA reviewed incident report submitted on 9/18/2024 to the El Segundo Child Care Regional office.

Investigative interviews were initiated with staff and children and documents were reviewed. Based on information received today, further investigation is needed.

No deficiencies were cited during today’s inspection in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1 and California Health and Safety Code.

Upon on receipt of this report, the Licensee shall post the Notice of Site Visit.
The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Assistant Director Trisha Marlisa. A copy of this report and appeal rights were discussed and left with the Licensee, whose signature on this form confirm receipt of these documents.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
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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