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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300339
Report Date: 01/09/2025
Date Signed: 01/09/2025 04:04:17 PM

Document Has Been Signed on 01/09/2025 04:04 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CREATIVE LEARNING CENTERFACILITY NUMBER:
376300339
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ,MARIAFACILITY TYPE:
850
ADDRESS:650 DOUGLAS DR #101TELEPHONE:
(760) 805-6478
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 16DATE:
01/09/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:01 PM
MET WITH:Director Maria HernandezTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On the above date and time listed, Licensing Program Analysts (LPA’s) Kelly Gerth and Gabriela Hernandez conducted a Case Management visit on this date to address an issue separate from the plan of correction visit.

During the visit conducted on this date, LPA’s observed 6 uncovered electric outlets in the Grasshoppers preschool classroom. Before LPA’s left the center, they confirmed child safe outlet covers were in place on the 6 outlets.

Please see 809D page for deficiencies issued.

An exit interview was conducted. The appeal rights were discussed and provided along with a copy of this report to Director Maria Hernandez, on this date. A Notice of Site visit was given and Director Maria Hernandez was reminded the notice must remain posted for 30 days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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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Document Has Been Signed on 01/09/2025 04:04 PM - It Cannot Be Edited


Created By: Kelly Gerth On 01/09/2025 at 03:31 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: 01/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2025
Section Cited
CCR
101238(a)

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101238(a) Buildings and Grounds (a) The childcare 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 is not met as evidenced by:
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Director Maria Hernandez covered outlets with 6 child safe plugs during this visit. Director agrees to conduct a training with all staff on this regulation and submit a sign/out sheet from all staff, to CCL by COB of POC date..
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Based on observation, the Licensee did not comply with the regulation as 6 uncovered electric outlets were observed in the Grasshoppers classroom during the walk through.
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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:Kelly Gerth
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
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