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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842462
Report Date: 11/01/2021
Date Signed: 11/01/2021 02:05:39 PM

Document Has Been Signed on 11/01/2021 02:05 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:CREATIVE MIND LEARNING CENTERFACILITY NUMBER:
364842462
ADMINISTRATOR:AGUILAR, SYLIVIAFACILITY TYPE:
850
ADDRESS:15089 MESA STREETTELEPHONE:
(760) 949-5300
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 9DATE:
11/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Silvia AguilarTIME COMPLETED:
02:20 PM
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Licensing Program Analyst's (LPAs) Thompson-Miller and Ibitoye met with the facility Director Silvia Aguilar. LPAs conducted an One Year Required Inspection for the preschool in accordance with the facility sketch. A tour of the facility was conducted. Upon arrival LPAs observed one classroom with a total of 5 preschool children upon (total of 9 children during the inspection). There were 2 teachers on the premises and the director. The center operates 4:30AM-7:00PM Monday through Friday. Incidental Medical Services (IMS) policy was discussed.

Indoor/Children's Area: The center is clean, safe, sanitary and in good repair, there are no potential hazardous areas observed (passageways), floors are clean and safe, cleaning compounds are inaccessible, poisons locked, furniture and equipment in good condition, no insects or flies observed, play equipment are age appropriate. Each child has own cubby, trash cans have tight fitting lids, drinking water is available, no toxic materials observed, fireplace inaccessible, window screens in good repair. LPA's observed the carbon monoxide, Fire Extinguisher and smoke detector in working condition. Age appropriate toilets and sinks in working condition. There is a working telephone on the premises, isolation area for ill children at the office area, room temperature is comfortable, First Aid Kit observed, sign in/out observed, COVID-19 protocol observed (temperature check), no smoking on the premises, no baby walkers or other prohibited play equipment on the premises.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2021
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CREATIVE MIND LEARNING CENTER
FACILITY NUMBER: 364842462
VISIT DATE: 11/01/2021
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Napping: LPA's observed cots in safe condition, sanitize after each use, cots spaced to have access to a safe walkway, bedding is not in contact with other bedding.

Restrooms: Toilets and sink are safe and sanitary, no hot water in restroom, paper towels observed for children use.

Outdoor: Center has a shaded area, play ground free from hazards and debris, play structure has cushioning material, sandbox inspected daily, air condition unit is fenced.

Health Related Services: Medications when used are inaccessible to children, child name and date on medication, parent written consent as required.

Food Service: Food prepared and served in a safe manner, food preparation is completed in the kitchen, cleaning compounds are kept in the supply room (off limits), silverware are cleaned and sanitized after each use, refrigerator temperature in regulation, menu posted in kitchen and classroom, breakfast, snack and lunch are provided.

Staff Records: LPAs reviewed files for Director Qualifications, immunization, licensing forms (LIC9108, Mandated Reporter, LIC508, LIC308).

Facility Records: LPA's observed the Roster to be complete and current, staff has current CPR/First Aid expire 5/20/2022, fire and earthquake drills are conducted monthly.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CREATIVE MIND LEARNING CENTER
FACILITY NUMBER: 364842462
VISIT DATE: 11/01/2021
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Posting Requirements: Center has required posting (waiver, license, PUB 393L, car seat law, emergency disaster plan, earthquake preparedness, lead poison).

Documents Discussed: IMS (Incidental Medical Services).

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.

Director was reminded 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 initial presence in a 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.

A notice of site visit was given and must remain posted for 30 days. The report was read with Director. Exit interview conducted and report was reviewed with Director, Silvia Aguilar.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021
LIC809 (FAS) - (06/04)
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