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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842462
Report Date: 07/01/2022
Date Signed: 07/01/2022 10:51:47 AM

Document Has Been Signed on 07/01/2022 10:51 AM - 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: 5DATE:
07/01/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Silvia AguilarTIME COMPLETED:
11:06 AM
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Licensing Program Analyst (LPA) Thompson-Miller met with Director, Silvia Aguilar for a Case Management - Incident inspection involving an Incident Report dated June 29, 2022. The incident occurred on unknown date.

Description of the incident: Child #1 allegedly touched Child #2 inappropriately.
Child #1 is not and has not ever been enrolled at the child care center. Child #1 allegedly pulled the pants down of Child #2. Interviews were conducted with staff and child involved.

Based on information provided and interviews conducted the incident does not appear to have been the result of any violation of the Title 22 regulation, therefore, no deficiencies were cited. The incident did not happen at the child care center and is being investigated by Children and Family (Protective) Services (Referral # 15808766826181154484).

An exit interview was conducted and a copy of this report was read and provided to the Director, Silvia Aguilar on this date.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2022
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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