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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842462
Report Date: 11/02/2023
Date Signed: 11/02/2023 03:07:44 PM

Document Has Been Signed on 11/02/2023 03:07 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, SILVIAFACILITY TYPE:
850
ADDRESS:15089 MESA STREETTELEPHONE:
(760) 949-5300
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 14DATE:
11/02/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Yesenia SotoTIME COMPLETED:
03:07 PM
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On November 2, 2023, Licensing Program Analyst (LPA) Babatunde Ibitoye met with the facility supervisor Yesenia Soto, for the Required 3-Year inspection. A tour of the facility was conducted. Upon arrival, LPA observed 2 pre-school classrooms in use with a total of 14 pre-school children.There were 4 teachers on the premises and the supervisor. The facility also have Infant component ( 364842461)and School age component (364842463). The center operates 6:30AM-5:30PM 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 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), no smoking on the premises, no baby walkers or other prohibited play equipment on the premises.



Napping: LPA 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CREATIVE MIND LEARNING CENTER
FACILITY NUMBER: 364842462
VISIT DATE: 11/02/2023
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Outdoor: Children’s use of the outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. The area was observed to be free of debris, free from hazards, holes, broken items, and debris, there are areas for shade and rest. play structure has cushioning material, grass, sandbox inspected daily, air condition unit is fenced.

Health Related Services:: Supervisor has been advised all prescription and non-prescription medications must have the child’s name and are dated, written consent and instruction from the child’s representative, and a plan to document and report to the child’s representative when medication is administered to a child; Medication will be properly labeled and stored in its original container.

The IMS plan was discussed and supervisor understands when IMS is necessary. Currently, Incidental Medical Services are provided to children in care as needed. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childquanda.html

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: Designation of Responsibility observed, immunization's, TB clearance, mandated reporter training, Director qualifications, health screening, criminal record statement, and a statement acknowledging suspected child abuse are available for review.
Facility Records: LPA observed the Roster to be complete and current, staff has current CPR/First Aid expire 3/11/2025, fire and earthquake drills log last completed on 6/20/2023. Mandated report training were reviewed . LPA Issued a Advisory Note for Mandated reporter Certificate.

Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty. The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 394L), emergency disaster plan, and earthquake preparedness checklist.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023
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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: CREATIVE MIND LEARNING CENTER
FACILITY NUMBER: 364842462
VISIT DATE: 11/02/2023
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Supervisor advised of the requirement to report Unusual Incidents. Licensee was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of the daycare center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. An On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8 am-5 pm.

Supervisor 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.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The director shall permit the Department to inspect the family child care home and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

A survey will be sent to the email address provided to improve the quality and value of the new inspection process. 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

Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiency was cited today.

An exit interview was conducted and the report was reviewed with the facility Supervisor Yesenia Soto.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2023
LIC809 (FAS) - (06/04)
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