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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808679
Report Date: 02/10/2022
Date Signed: 02/10/2022 01:40:28 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: 11DATE:
02/10/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Michele Van OrnumTIME COMPLETED:
01:45 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
On 2/10/2022, Licensing Program Analyst (LPA) conducted a Case Management inspection and met with Director Michele Van Ornum. The purpose of this inspection is to discuss an incident that occurred on 8/13/2021.,

On 8/13/2021, a day the school was closed for teacher in-service and cleaning , a spot of mold was found in the toddler room on the wall. The Director contacted a plumbing company who instructed the staff on proper cleaning solutions to use which was completed by staff. A construction company was then called to evaluate if dry wall damage occurred which it had. On 9/3/2021, 9/4/2021 and 9/5/2021, the construction company repaired the dry wall damage and left a fan to dehumidify the room. No children were present during the repair work. The fan was not operating while children were present. On 9/11/2021, the wall was repainted and all work was completed.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited today. Notice of Site Inspection to be posted for 30 days.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
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 1