364841304-9-26-2023-09-CC-SBRR-CW2RBJ-20230926125250

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364841304
Report Date: 09/26/2023
Date Signed: 09/26/2023 12:53:03 PM

Document Has Been Signed on 09/26/2023 12:53 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	CREATIVE KIDS PRESCHOOL		FACILITY NUMBER:	364841304
ADMINISTRATOR:	FORTUNATO, TERESA		FACILITY TYPE:	830
ADDRESS:	1161 E RIVERSIDE DRIVE		TELEPHONE:	(909) 923-5006
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91761
CAPACITY: 15	TOTAL ENROLLED CHILDREN: 17	CENSUS: 12	DATE:	09/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:42 AM
MET WITH:	Teresa Fortunato, Director and , Lead Teacher		TIME COMPLETED:	12:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 09/26/2023 at 8:42 AM required 1-year inspection is being conducted as a compliance review. Licensing Program Analyst (LPA) Susan Brewer, was greeted by staff Raven Henderson and granted entry to tour the infant center, inside and out. The following was observed: Licensee Teresa Fortunato, was temporarily away from the facility and arrived at 9:15 AM, to join the inspection. DAYS/HOURS OF OPERATION: MON-FRI, 6:30 AM TO 6:00 PM The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809-D. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days if changes have been made and submit on or before 10/26/2023. 1. LIC 500 Personnel Report 2. LIC 610 Emergency & Disaster Plan, need a 2nd relocation site. 3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 4. LIC 309 Administrative Organization 5. LIC 308 Designation of Administrative Responsibility, for alternative staff in absence of the director. 6.LIC200A Application with updated hours The following items have been posted and are updated where necessary: License; Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) Parent’s Rights Poster (PUB393); Personal Rights (LIC613A); Child Car Seat Law; Menu · The facility is operating within the terms of the license.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CREATIVE KIDS PRESCHOOL	FACILITY NUMBER: 364841304
	VISIT DATE: 09/26/2023

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· Facility is clean, safe and sanitary and in good repair.
· Appropriate supervision and Ratios were met during this inspection. LPA observed 12 children present and supervised by 5 staff.
· A fully charged fire extinguisher (2A:10BC) was observed and tagged on 03/24/2023 by the fire department. A smoke detector is hardwired, and carbon monoxide detector were present and tested by the Licensee during this inspection.
· Rooms and activity areas are physically separated from other components.
· Rooms are equipped with age-appropriate furniture and equipment in good condition.
· Uncontaminated drinking water is provided in both the indoor and outdoor activity areas by public water supply, tap water from the kitchen sink and bottled water.
· Napping equipment is sufficient for capacity and meets licensing requirements. At 9:45 AM during the inspection of the napping equipment, LPA observed a blanket and a loose crib sheet in a play pen, however, no infants were observed to be napping during the inspection.
· Rooms are clean and free of hazards.
· Materials and surfaces accessible to children are toxic free.
· No weapons stored at the facility.
· There are no bodies of water present on 09/26/2026. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored where inaccessible to infants: Located in Kitchen cabinet and are inaccessible to daycare children.
· Center is equipped to isolate and care for any child who becomes ill during the day.
· Toxins are locked and Hazards are stored where inaccessible to infants in the kitchen, laundry room and storage rooms.
· Toileting area was observed to be safe, sanitary and in operating condition.
· Outdoor play area is physically separated by appropriate fencing and free of hazards.
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition.
· There is sufficient cushioning material under high climbing equipment, swings, slides and similar equipment: A shade tarp and artificial turf to cushion were observed and in good condition.
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Food preparation area is clean and free of vermin on 09/26/2023.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

LIC809 (FAS) - (06/04)

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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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CREATIVE KIDS PRESCHOOL	FACILITY NUMBER: 364841304
	VISIT DATE: 09/26/2023

NARRATIVE

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· Food is stored appropriately and protected from contamination.
· All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair
· Individual feeding and Infant needs and service plans were reviewed and are complete for each individual infant on 09/26/2023, and updated every 3 months.
· Infants up to 12 months shall have a sleeping plan as required.
· Infant sleep logs for children up to 24 months of age with documentation of date, name, time of 15-minute check and staff initials were missing for 11 of 12 infant children present and observed in care.
· Infant files were reviewed and are NOT complete. LPA conducted a review of records which revealed 11 of 12 children present did not have a sleep log after turning 12 months of age and 1 newly enrolled infant was present on 09/25/2023, did not have sleep logged for that day.
· Sign in/Sign out record was reviewed and meets regulation requirement on 09/26/2023.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 10/23/2023.
· Opening and closing staff member’s CPR/First Aid expires on 10/23/2023
· Director completed Health and Safety Training on 10/15/1994; No nutrition and no lead.
· Staff qualifications and files were reviewed and are complete on 09/26/2023.
· Staff have received on the job training for housekeeping, sanitation and universal health precautions.
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 03/17/2023.
· Documentation of Lead Testing is on file: Initial Lead testing was 01/14/2023. Outlets for the Infant sink. No action level exceedance detected for the Infant room sink or the kitchen sink outlets.

A review of staff records on 09/25/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov, Licensee was informed of the Department has inspection authority per Health and Safety Codes.

AB2370 – Lead Exposure, day care facilities, effective January 1, 2019 – The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

LIC809 (FAS) - (06/04)

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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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CREATIVE KIDS PRESCHOOL	FACILITY NUMBER: 364841304
	VISIT DATE: 09/26/2023

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AB605 – Child day care facilities, birth to school-age license; Effective January 1, 2021
AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022.

Please subscribe at www.childcareadvocatesprogram to receive Department updates. They will be sent directly to your e-mail account once you have set up an account.
Duty Officer is available to answer questions Mon. – Fri. at 1-844-LET-US-NO (1-844-538-8766).

This facility provides Incidental Medical Services – IMS. LPA Susan Brewer, reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at:
http://www.ada.gov/childqanda.htm For CCCs: Incidental Medical Services (IMS) policy was discussed

The licensee Teresa Fortunato, was reminded that all adults 18 and over living or working in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations with licensee Teresa Fortunato, discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

LIC809 (FAS) - (06/04)

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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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CREATIVE KIDS PRESCHOOL	FACILITY NUMBER: 364841304
	VISIT DATE: 09/26/2023

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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.

Deficiencies cited this visit a Type B violation.

A civil penalty was not cited this visit

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Teresa Fortunato

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/26/2023 12:53 PM - It Cannot Be Edited

Created By: Susan Brewer On 09/26/2023 at 12:13 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CREATIVE KIDS PRESCHOOL	FACILITY NUMBER: 364841304
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101429(a)(2)(C)(3)

Responsibility for Providing Care and Supervision for Infants

(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: (3) Time of each 15-minute check This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above in the licensee failed to maintain documentation on infant safe sleep for 11 of 12 infant children present and in care, also under the age of 24 months of age, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/28/2023
	Plan of Correction
1 2 3 4	The licensee agrees to submit proof of infant safe sleep logs for all infants enrolled and napping, while in care at the center. In addition, the licensee agrees to provide proof of training on infant safe sleep regulations for all staff assigned to supervise infant children, and submit proof of the subject matter reviewed, along with the signed attendance sheet. Proof of correction can be submitted to the department by fax, mail or e-mail on or before 09/28/2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Kimberly Williams

LICENSING EVALUATOR NAME:

Susan Brewer

LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

LIC809 (FAS) - (06/04)

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