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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371553
Report Date: 12/08/2023
Date Signed: 12/08/2023 02:59:48 PM

Document Has Been Signed on 12/08/2023 02:59 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CREATIVE LITTLE RASCALSFACILITY NUMBER:
304371553
ADMINISTRATOR:BROWN, SILENNAFACILITY TYPE:
850
ADDRESS:1515 WEST WHITTIER BLVD.TELEPHONE:
(951) 905-4338
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 3DATE:
12/08/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Director Silenna BrownTIME COMPLETED:
03:00 PM
NARRATIVE
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On 12/8/23, Licensing Program Analyst (LPA) A. Silva conducted an unannounced Required – 3 Year inspection assisted by Director Silenna Brown. Upon arrival, total census was 3 children. The facility was operating within its licensed capacity and within compliance of staff to child ratios. Facility hours are 6:00AM to 10:00PM, Monday through Saturday. An on-site Facility Personnel Report Summary review showed that all facility staff or other individuals who require background checks have received criminal record and child abuse index clearances or exemptions.

INDOOR INSPECTION. The LPA inspected the indoor areas and areas accessible to clients at the time of the visit. The facility was equipped with working carbon monoxide and smoke detectors, working telephone service, and at least one fire extinguisher that meets statutory and State Fire Marshall standards. The director stated that no drills have been conducted since the facility just recently enrolled children (See 809D).

The LPA observed various rugs with on top of the carpet. The rugs were stained with a dark substance that appeared dried mud or liquid. The director stated that the stains were permanent and added that the rugs would be cleaned or replaced (See 809D).

The director stated that there are no firearms and/or other dangerous weapons in the facility; none were observed during the inspection. Detergents, cleaning compounds, medicines, and other items that could pose a danger if readily available were inaccessible to clients in care. No poisons or other items that could pose a danger to clients were observed during the inspection. The facility provides age-appropriate toys, play equipment, and materials for the clients served.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2023
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 12/08/2023 02:59 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 12/08/2023 at 01:31 PM
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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CREATIVE LITTLE RASCALS
FACILITY NUMBER: 304371553

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in 3 of 3 water outlets, which poses/posed a potential health, safety or personal rights risk to persons in care. The director stated the facility has not been tested for lead. The facility has three faucets, one is portable.
POC Due Date: 01/08/2024
Plan of Correction
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The licensee stated that she will make arrangements to test the facility for lead in the water and send the result to the LPA to the email provided, no later than the due date.
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on an interview with the licensee, the licensee did not comply with the section cited above in 1 of 1 drill every six months, which poses/posed a potential health, safety or personal rights risk to persons in care. The licensee stated that because the facility just recently enrolled children, no disaster drills have been conducted.
POC Due Date: 01/08/2024
Plan of Correction
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The licensee will conduct a drill and provide proof of correction to the LPA via email no later than 1/8/24.
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:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2023


LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 12/08/2023 02:59 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 12/08/2023 at 01:31 PM
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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CREATIVE LITTLE RASCALS
FACILITY NUMBER: 304371553

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.3(b)
Indoor Activity Space
(b) The floors of all rooms shall have a surface that is safe and clean.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview with the licensee, the licensee did not comply with the section cited above in 6 of 6 rugs, which poses/posed a potential health, safety or personal rights risk to persons in care. The LPA observed the rugs are stained with dark substance that appears to be dried mud or dried up liquid. The director stated the rugs got dirty during rain season and that some stains are pemanent.
POC Due Date: 01/08/2024
Plan of Correction
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The director stated that the rugs will be replaced no later than the due date above. The director will send pictures to the LPA by email no later than the dure date above.
Type B
Section Cited
CCR
101238.2(d)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in 1 of 1 playgrounds, which poses/posed a potential health, safety or personal rights risk to persons in care. The LPA observed empty plastic bags, an all purpose bag sand, empty water bottles, and other broken plastics in the playground.
POC Due Date: 01/08/2024
Plan of Correction
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The director stated she did not get a chance to do maintenance in the playground this morning. The director stated she hired a person to help remove the all purpose sand and replace it with new one and power wash the outdoor play surface. The director will send proof of correction to the LPA no later than the due date above.
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:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2023


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Document Has Been Signed on 12/08/2023 02:59 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 12/08/2023 at 01:31 PM
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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CREATIVE LITTLE RASCALS
FACILITY NUMBER: 304371553

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on records review and interview, the licensee did not comply with the section cited above in 2 of 2 licensee's, which poses/posed a potential health, safety or personal rights risk to persons in care. The records review shows the licensees don't have a current mandated reporter in file. The licensee stated both licensees have to renew the mandated reporter.
POC Due Date: 01/08/2024
Plan of Correction
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The licensee stated both licensees will complete the mandated reporter by the due date 1/8/23 and provide proof of correction to the LPA
Type B
Section Cited
CCR
101229.1(a)(1)
Sign In and Sign Out
(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in 5 of 5 children in attendance, which poses/posed a potential health, safety or personal rights risk to persons in care. The licensee's sing in/out sheets don't have a full legal signature for any of the children in attendance. The licensee stated that parents sing at the end of the month.
POC Due Date: 01/08/2024
Plan of Correction
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The licensee stated she will create a new sign in sheet and have the parents sing in when they drop off the child and when they pick up the child. The licensee stated she will send proof of correction to the LPA no later than the due date.
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:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2023


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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CREATIVE LITTLE RASCALS
FACILITY NUMBER: 304371553
VISIT DATE: 12/08/2023
NARRATIVE
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ON-SITE FOOD PREPARATION: The center provides food to clients. The director stated that food is not prepared at the facility, it is delivered. Drinking water is available to clients in care. There are water bottles available. The LPA observed that the facility’s floors, equipment, furniture, and clients’ bathrooms in good repair, and free of sharp edges. The facility meets all posting requirements.

The director stated that facility has not been tested for lead. The LPA informed the director that per PIN 21-21.1-CCP Written Directives, lead testing is required (See 809D).

OUTDOOR INSPECTION. The LPA inspected the outdoor areas. The playground was enclosed by a fence at least four feet in height and is in good repair. At the time of inspection, the surface of the outdoor activity area was not well maintained or free of observable hazards. The facility surface was littered with plastic bags, an all purpose sand bad, broken plastics, and empty sauce containers A citation was issued (See 809D). The areas around and under high climbing equipment, swings, slides, and other similar equipment were cushioned with material that absorbs falls. The outdoor equipment and toys are and free of sharp edges. There are no bodies of water present at the facility.

PERSONNEL RECORDS. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a child day care center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for staff members were reviewed and within compliance. Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training and to renew the training every two years. Staff files were reviewed for compliance. At least one staff member present has current approved Pediatric CPR/First Aid certifications. Both licensees did not have a current mandated reporter. The director stated both licensees will renew the mandated reporter certificate by the due date (See 809D).

CHILDREN’S RECORDS. Children's records were reviewed for compliance. Each client has a separate, complete, and current record. Sign in/out procedure was reviewed for compliance: the sing in/out sheet did not have a full date or sign in/out signatures (See 809D) Transportation is offered to clients.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CREATIVE LITTLE RASCALS
FACILITY NUMBER: 304371553
VISIT DATE: 12/08/2023
NARRATIVE
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The Incidental Medical Services (IMS) policy was discussed. A link to PIN 22-02-CCP was provided here: PIN 22-02-CCP: Best Practices Related to the Provision of Incidental Medical Services in Child Care Centers and Family Child. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The Director was informed that Licensing Quarterly Updates are available at www.cdss.ca.gov Director may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.cdss.ca.gov
LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The facility representative was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative.

LEAD TESTING: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every
5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. The child care center is located in a building that was constructed in 2017.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CREATIVE LITTLE RASCALS
FACILITY NUMBER: 304371553
VISIT DATE: 12/08/2023
NARRATIVE
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CRIMINAL RECORD CLEARANCE: The director understands that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to the initial presence in a licensed child care facility. Violation of this requirement will result in a citation of a deficiency and civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days. Subsequent violations within a twelve (12) month period will result in a civil penalty of one hundred dollars ($100) per violation per day for a maximum of thirty (30) days in accordance with Section 1596.871 of the Health and Safety Code.

The facility was NOT in compliance. Violations of the California Code of Regulations, Title 22, Division 12 were observed, discussed, and cited at the time of the visit. The following violations of the California Code of Regulations, Title 22; Division 12, were observed and cited today: 1597.16(a)(1) Lead Testing, 101174(d) Disaster and Mass Casualty Plan, 101238.3(b) Indoor Activity Space, 101238.2(d) Outdoor Activity Space, 1596.8662(b)(1) Administration of Child Day Care Licensing, 101229.1(a)(1) Sign In and Sign Out.
Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and the report was reviewed with the director.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023
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