198400024-8-9-2019-54-CC-RNAO-BEVP4Z-20190809105958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400024
Report Date: 08/09/2019
Date Signed: 08/09/2019 11:00:07 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	CREATIVE MIND'S		FACILITY NUMBER:	198400024
ADMINISTRATOR:	DIANA SANCHEZ		FACILITY TYPE:	850
ADDRESS:	8970 STATE ST		TELEPHONE:	(323) 605-7832
CITY:	SOUTH GATE	STATE: CA	ZIP CODE:	90280
CAPACITY:	24	CENSUS: 0	DATE:	08/09/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Diana Sanchez		TIME COMPLETED:	11:15 AM

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 Analysts (LPA's) Raul Navarro and Elka Chavez conducted a Pre-Licensing Inspection for a capacity determination. LPA met with Applicant/Director, Diana Sanchez. Applicant is requesting a total capacity of 24 preschool children. The proposed program will operate Monday through Friday from 7:00am to 5:00pm. All indoor and outdoor areas identified on the facility sketch were toured during this inspection. The preschool program consists of a total of three classrooms and one outdoor play area. The front entrance to the facility is located off of State Street. First Aid supplies were inventoried. A first aid kit is kept in the front office. Carbon monoxide detectors and smoke detectors are present and in operable condition. Director states that the front office will be used as the ill isolation area and children will use the staff restroom. The facility will provide all food items that will be brought in from an outside source. The facility will administer prescription and non-prescription medications. Medications will be stored in the front office in a locked box. LPA observed cots for the children in care. LPA observed sufficient napping equipment that meets the requirements of Title 22 regulations. Sign in/out procedures will be implemented at the entrance of the facility at the front desk. LPA observed sufficient storage space for children’s belongings. There are cubbies located in each classroom. Drinking water will be provided in each classroom. LPA observed storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Cleaning compounds and any poisons are stored in areas that is off limits to children. Report continues- Page 1 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CREATIVE MIND'S	FACILITY NUMBER: 198400024
	VISIT DATE: 08/09/2019

NARRATIVE

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The playground is located in an enclose gated area of the property. LPA did not observed enough shaded area for the children. Applicant stated that a canopy will be purchased and installed. The surface of the outdoor activity space was observed to be in a safe condition and is currently free of hazards. Staff will have water pitchers and disposable cups available for the children in care. The outdoor area is completely fenced. The applicant states that there are no bodies of water on the premises and none were observed during this visit. LPA did not observe any climbing equipment during today's inspection.

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

The Fire Clearance was granted for 24 preschool children and was received by the Department on 07/05/19.

LPA observed 2 toilets and 2 sinks. LPA measured the indoors and outdoors as follows:

Total Indoor:
Classroom #1- 265.22
Classroom #2- 218.49
Classroom #3- 218.49
Total indoor: 702.21 /35=20 Children.

Outdoor Play yard:
3,206.4126 / 75 = 42 children

Applicant wishes to set capacity at 20 preschool children on the license. LPA advised Applicant that a new fire clearance must be submitted and approved to reflect the capacity of 20 preschool children.

Report continues- Page 2 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

Page: 2 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CREATIVE MIND'S	FACILITY NUMBER: 198400024
	VISIT DATE: 08/09/2019

NARRATIVE

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The following must be corrected prior to approval of license:
- Facility must have a shaded area for the children in care.
- A new fire clearance request reflecting the capacity for 20 children.

Once all application documents are approved, the department will make its determination on the preschool license.

The following was discussed with the Applicant:

Mandatory Forms for the children’s files and staff files. Requirements for fire drills, earthquake drills and documentation on a quarterly basis for both were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Applicant was advised how to access forms and Regulations online at www.ccld.ca.gov. Applicant was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. The Applicant was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

LPA advised Applicant that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. Applicant advised that records must be updated with the required documents immediately, and records for all children and staff must be maintained for three (3) years after separation from the facility.

LPA advised Applicant that preschool children are to never be left unsupervised, including visual observation. LPA also explained that this is also required in napping areas.

The Applicant was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to Community Care Licensing (CCL) within the time frame specified by the regulation.

Exit interview conducted with Applicant Diana Sanchez. Appeal rights were issued and explained.

End of report- Page 3 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3