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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419619
Report Date: 01/21/2025
Date Signed: 01/21/2025 05:19:04 PM

Document Has Been Signed on 01/21/2025 05:19 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CREATIVE HANDS LEARNING ACADEMYFACILITY NUMBER:
197419619
ADMINISTRATOR/
DIRECTOR:		NATASHA MADISONFACILITY TYPE:
830
ADDRESS:2320 W. MARTIN LUTHER KING BVDTELEPHONE:
(323) 389-8014
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
01/21/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:03 AM
MET WITH:Natasha Madison - LicenseeTIME VISIT/
INSPECTION COMPLETED:
05:35 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
Licensing Program Analyst (LPA), Keyona Scott, conducted an unannounced annual required inspection to the Child Care Center on 01/21/2025. Upon LPA's arrival to the child care center office, there was no staff present in the office. LPA met with preschool teacher (S1) at 9:20 AM and was guided to the infant classroom. LPA observed one (1) infant with one (1) teacher in the infant room activity area at 9:41 AM. LPA observed six (6) infants with one (1) unsupervised volunteer in the eating and napping area at 9:45 AM; which poses a potential risk to the health, safety and/or personal rights of the children in care. LPA observed that volunteer did not have an active livescan or criminal record clearance. LPA observed lead teacher (S2) enter infant room at approximately 9:50 AM. LPA continued to tour infant area and observed in infant outdoor play area at 9:57 AM, one (1) staff, sitting in the activity slide on the infant outdoor play area. During inspection, LPA observed that two individuals, one (1) volunteer) and one (1) staff did not have a livescan or criminal record clearance or exemption to present in the child care center; which poses and immediate risk to the health, safety and/or personal rights of the children in care. LPA met with staff (S3) who works at another childcare center location, however, has a criminal record clearance and is associated with facility. LPA continued tour with S3. Upon return to the infant room, LPA observed an infant sleeping in a swing; which poses a potential risk to the health, safety and/or personal rights to the child(ren) in care. By the end of tour, LPA observed a total of ten (10) infants present in care with two qualified teachers. Licensee arrived at facility at approximately 11:20 AM.
This is an infant center that serves infants ages two (2) months to two (2) years old. There is also an active preschool (facility# 197419522) located on the premises. Operation hours are Monday through Friday 6:30 AM to 6:00 PM.
PHYSICAL PLANT
All areas identified on the Facility Sketch were inspected. The infant program consist of one classroom and a napping room. LPA observed cubbies with infants names at the entrance of the infant room, cushioned floor mats, blocks, activity toys and other age-appropriate playthings in the infant room. PAGE 1
Claudia EscobedoTELEPHONE:
Keyona ScottTELEPHONE:
DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
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 12
Document Has Been Signed on 01/21/2025 05:19 PM - It Cannot Be Edited


Created By: Keyona Scott On 01/21/2025 at 02:41 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419619

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in two (2) out of six (6) persons which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/22/2025
Plan of Correction
1
2
3
4
Licensee will ensure all persons working and volunteering in the facility during operation hours while children are in care have a criminal record clearance. LIcensee will submit declaration statement on how plans to ensure all persons working, residing or volunteering at facility have a criminal record clearance and are associated to the facility by Wednesday, 01/22/2025.
Type A
Section Cited
CCR
101416.5(b)
Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.

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 two (2) out of ten (10) persons which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/22/2025
Plan of Correction
1
2
3
4
Licensee agrees to ensure that the teacher to infant ratio is adhered to. Licensee will review regaulations of adequate teacher to child ratio and ensure that there is the appropriate amount of qualified staff to infants. Licensee will watch video on licensing website regarding ratios and submit declaration to LPA on how plans to adhere to infant ratios by 01/22/2025.
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:Claudia Escobedo
TELEPHONE:
LICENSING EVALUATOR NAME:Keyona Scott
TELEPHONE:
LICENSING EVALUATOR SIGNATURE:
DATE: 01/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2025


LIC809 (FAS) - (06/04)
Page: 2 of 12
Document Has Been Signed on 01/21/2025 05:19 PM - It Cannot Be Edited


Created By: Keyona Scott On 01/21/2025 at 02:41 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419619

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101430(a)(3)(E)
Infant Care Activities
(E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in one (1) out of ten (10) persons which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/31/2025
Plan of Correction
1
2
3
4
Licensee will conduct a training with all infant staff regarding the potential risks of infants sleeping in other objects besides cribs. Licensee will provide LPA with meeting agenda, date/time training was conducted and sign in sheet of all staff that attended training, no later than Friday, 01/31/2025.
Type B
Section Cited
CCR
101216(c)
Personnel Requirements
(c) The licensee may utilize volunteers provided that such volunteers are supervised and are not included in the center's staffing plan.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in one (1) out of one (1) persons which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/22/2025
Plan of Correction
1
2
3
4
Licensee will review regaulations regarding volunteers, conduct training with staff and all volunteers and provide LPA with training agenda, date/time of training and sign-in sheet of all staff and volunteers that attended training. Licensee will also provide LPA with declaration on how plans to adhere to have staff/volunteers adhere to volunteer duties within CCR regulations.
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:Claudia Escobedo
TELEPHONE:
LICENSING EVALUATOR NAME:Keyona Scott
TELEPHONE:
LICENSING EVALUATOR SIGNATURE:
DATE: 01/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2025


LIC809 (FAS) - (06/04)
Page: 3 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419619
VISIT DATE: 01/21/2025
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
LPA observed cribs with blankets in the infant napping room. LPA advised lead teacher (S2), staff (S3) and Licensee that blankets are prohibited in cribs. Licensee's Assistant purchased fitted sheets to be placed on infant mattress pads. LPA observed fitted sheets placed on infant mattress pads in the infant room prior to infants napping.

The facility was kept clean, neat and orderly. LPA observed two (2) changing stations within an arms reach of a sink in the infant classroom. Per Licensee, there are no potty - trained infants in the infant program; potty-training begins when the child moves to the two - year old classroom in the preschool program. All poisons and hazardous items are stored in upper cabinets and inaccessible to infants in care. All floors are clean and safe. LPA observed the classroom and all kitchen areas and/or food preparation areas clean and free of litter, rubbish, rodents and/or any other vermin, flies, gnats and other insects. Trash cans used to discard food have tight fitting lids.

Outdoor play area is located adjacent to the infant room. Outdoor play equipment is in safe condition and is free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA observed playhouse, cozy coupes, infant activity slide and other age appropriate equipment in the outdoor play area. There is adequate shade area in the infant outdoor play area. Drinking water is readily available both indoors and outdoors.

FACILITY RECORDS

There is at least one person present at facility that is trained in Pediatric CPR and First Aid. Per file review, LPA observed completion of Mandated Reporter training certificate in staff's files reviewed.



LPA reviewed one (1) staff files completed with he following personnel records during today's inspection: Staff Qualifications; Proof of immunization of measles (MMR), pertussis (Tdap) and influenza; Current Pediatric CPR and First Aid Certification; TB clearance or risk assessment; LIC 503 (Health Screening Report); LIC 508 (Criminal Record Statement); LIC 9108 (Statement Acknowledging Requirement to Report Child Abuse); Mandated Reporter Training Certificate; LIC 9052 (Employee Rights)

LPA reviewed two (2) staff files with infant teacher qualifications. PAGE 2
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE:
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE:
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
Page: 9 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419619
VISIT DATE: 01/21/2025
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
LPA reviewed three (3) infant's files of the following children's records: LIC 613A (Personal Rights); Admission Agreement; LIC 701 (Physician's Report); LIC 995 (Notification of Parents' Rights); LIC 627 (Consent for Emergency Medical Treatment); Immunization Record.

LPA observed the following during today's inspection:
  • Facility License
  • Menus
  • LIC 610- Emergency Disaster Plan


LPA provided the following documents to be posted during today's inspection:
  • PUB 269- Child Passenger Restraint System Poster
  • LIC 613A- Personal Rights
  • PUB 393- Notification of Parents' Rights

LPA reviewed the following documents during today's inspection:
  • Verification of Disaster Fire Drills: Per review, last fire and earthquake drill was conducted on 12/09/2024 and 12/12//2024.
  • Daily Activity Schedule
  • Sign In/Out Sheets

LPA provided Director with the following form for review and completion:
  • LIC 9148 Earthquake Preparedness Checklist

LPA identified the following locations during today's inspection:
  • Functioning Carbon Monoxide Detector, Smoke Alarm(s) and Fire Extinguisher(s)

The facility was not operating in substantial compliance during today’s inspection on 01/21/2025. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, deficiencies were cited; see LIC 809-D attached.
PAGE 3
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE:
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE:
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
Page: 10 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419619
VISIT DATE: 01/21/2025
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
The following was thoroughly discussed:
Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Licensee [or facility representative] was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.
LPA, Keyona Scott, informed licensee, Jerrilyn Cordett, that this report dated, 12/05/2024, documents one (1) Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.
Also, LPA, Keyona Scott, informed the licensee to provide a copy of this licensing report dated 12/05/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. PAGE 4
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE:
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE:
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
Page: 11 of 12
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419619
VISIT DATE: 01/21/2025
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
Exit interview conducted and report was reviewed with the licensee Natasha Madison.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. PAGE 5
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE:
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE:
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
Page: 12 of 12