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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300339
Report Date: 11/01/2023
Date Signed: 11/01/2023 12:58:24 PM

Document Has Been Signed on 11/01/2023 12:58 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CREATIVE LEARNING CENTERFACILITY NUMBER:
376300339
ADMINISTRATOR:HERNANDEZ,MARIAFACILITY TYPE:
850
ADDRESS:650 DOUGLAS DR #101TELEPHONE:
(760) 805-6478
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 35TOTAL ENROLLED CHILDREN: 30CENSUS: 21DATE:
11/01/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:37 AM
MET WITH:Maria Hernandez, interim director/ownerTIME COMPLETED:
01:10 PM
NARRATIVE
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On November 1, 2023, at 11:37 am, Licensing Program Analysts (LPAs) Cindy Hamilton and Amber Shaw arrived at the facility on a case management inspection. LPAs met with Interim Director/Owner Maria Hernandez and provided purpose of inspection. At the time of inspection, LPAs toured the facility and took census.

LPAs observed, the facility has flying insects in 3 year olds ladybugs classroom and in the kitchen. In the Ladybugs c classroom, LPAs observed a cup with several flying insects on and flying around the cup. LPAs also observed bulging, water stained, and possibly mold/mildewed ceiling tiles in the pre-k Grasshopper classroom in which the interim director Maria Hernandez advised that the air conditioner is leaking and is still being used. In the kitchen, LPAs observed food on the counters with several insects flying around. Some of the food was covered and some of the food was not covered.

A Type B citation for Building and Grounds was issued, see LIC 809-D.

An exit interview was conducted with Licensee and a copy of this report, appeal rights and notice of site visit was provided. Director was reminded that the notice of site visit must remain posted for 30 consecutive days or civil penalties may be cited.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 11/01/2023 12:58 PM - It Cannot Be Edited


Created By: Cindy Hamilton On 11/01/2023 at 12:10 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CREATIVE LEARNING CENTER
FACILITY NUMBER: 376300339

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2023
Section Cited
CCR
101238(a)

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101238 Buildings and Grounds(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by:
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Director stated she will be speaking with property managment regarding repair of the air conditioner, whether mold/mildew is present and replacing the ceiling tiles. Director can provide proof of correction to LPA Hamlton via email on or before the POC due date.
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Based on observation, the facility is not in good repair, the ceiling tiles in Grasshoppers room are bulging, water stained and possibly mold or mildewed due to leaking Air Conditioning unit which poses a possible health, safety and/or personal rights risk to children in care.
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Type B
11/30/2023
Section Cited
CCR101238(a)(1)

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101238 Building and Grounds (a)(1) (a) The child care center shall be clean, safe, sanitary and in good repair at all times...The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met as evidenced by:
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Director will be speaking with property management regarding pest control options and Director will also spray and clean facility.
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Based on observation, the facility has a large amount of flying insects in the Grasshopper and Lady Bugs classrooms and kitchen which poses a possible health, safety and/or personal rights risk to children in care.
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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:Carlos Martinez
LICENSING EVALUATOR NAME:Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2