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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808038
Report Date: 05/03/2021
Date Signed: 05/03/2021 11:50:20 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:DERMER'S CREATIVE CARE TOOFACILITY NUMBER:
103808038
ADMINISTRATOR:DERMER, SANDRA SUEFACILITY TYPE:
830
ADDRESS:8855 N. CHESTNUTTELEPHONE:
(559) 325-6913
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:22CENSUS: 19DATE:
05/03/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Sandra DermerTIME COMPLETED:
12:15 PM
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On this date, Licensing Program Analyst (LPA) Brannon, met with licensee, Sandra Dermer. During today's inspection, LPA toured facility inside and outside, took a census and received documentation.

On 4/15/21, licensee received a Type A deficiency. This is a follow-up inspection to verify licensee made the correction as required. During today's inspection, licensee provided a copy of previous infant enrollment and a copy of current infant enrollment. The enrollment documentation consist of the two infant classrooms.

During today's visit, LPA observed 19 infants in the two infant classrooms. Licensee has made changes to ensure that facility is within their licensed capacity of 22 infants when day care services are provided.

During today's visit, LPA provided a copy of Letter of Deficiency Citations Cleared form.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's inspection. Exit interview conducted with assistant director, Bethany Dermer. A copy of this report need to be placed in facility file for public review. A Notice of Site Visit was posted on parent board.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021
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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