<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808679
Report Date: 06/20/2019
Date Signed: 06/20/2019 12:13:15 PM

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:CREATIVE MINDS LEARNING CENTER, LLCFACILITY NUMBER:
103808679
ADMINISTRATOR:VAN ORNUM, MICHELEFACILITY TYPE:
830
ADDRESS:9835 N. LAKESHORE DRIVETELEPHONE:
(559) 434-2800
CITY:FRESNOSTATE: CAZIP CODE:
93730
CAPACITY:18CENSUS: 15DATE:
06/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Michele Van Ornum, DirectorTIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
LPA Pete Espinoza made an unannounced Annual/Random inspection. LPA met with Director, Michele Van Ornum, Director. There are no bodies of water and/or firearms allowed or stored on the premises of a child care center. Firearms and other weapons are not allowed or stored on the premises of a child care center. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition. All storage containers for solid waste, including moveable bins, have tight fitting covers that are kept on, and are in good repair. The licensee takes measures to keep the facility free of flies, other insects, and rodents. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. A baby walker is not allowed on the premises of a child care center. The facility has sufficient infant napping equipment. The facility has indoor activity space for infants that is physically separate from space used by preschool child care center/school-age child care center components. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. The facility ensures that each infant is never left unattended, and under the direct visual supervision of a staff person at all times. The facility is in compliance with the staff-infant ratios required. Prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review have obtained a clearance or criminal record exemption. The licensee ensures that personnel records are maintained on the licensee, administrator, and each employee. The facility ensures that staff being utilized as infant teachers during the compliance review meet the qualification requirements. Menus are posted at least one week in advance. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The facility has an individual feeding plan for each infant that meets the requirements. The facility ensures that each infant has an Infant Needs and Services Plan.

Director provided proof of completion for required AB 1207 - California Child Care Workers: Mandated Reporter Training for all staff present at facility at time of visit.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CREATIVE MINDS LEARNING CENTER, LLC
FACILITY NUMBER: 103808679
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)
Physical Plant - Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation the licensee did not comply with the section cited above in that cleaning solutions were accessible to children, which poses/posed a potential health, safety or personal rights risk to persons in care.
Inspection Tool Notes: LPA observed lower cabinet in infant room with cleaning solutions accessible to children. Safety latch to cabinet door is broken and not working accordingly.
POC Due Date: 06/20/2019
Plan of Correction
1
2
3
4
Director removed cleaning solutions to upper cabinets during visit.
Deficiency Cleared during visit.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CREATIVE MINDS LEARNING CENTER, LLC
FACILITY NUMBER: 103808679
VISIT DATE: 06/20/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Operating hours are Mon-Fri 8:00 AM – 4:00 PM

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Please update LIC 500, LIC 610, LIC 308, and Facility Sketch and send to Fresno Regional Office.

LPA discussed the Community Care Licensing website, Lead Safety and Safe Sleep best practices. LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.

The following is cited per chapter 1, Title 22, Div. 12 of the CCR: (see page 2) Copy of appeal Rights left with center representative/licensee.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3