300605950-3-26-2021-06-CC-STOE-BZGKEP-20210326075037

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300605950
Report Date: 03/25/2021
Date Signed: 03/26/2021 07:50:56 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	CREEKER'S CLUB		FACILITY NUMBER:	300605950
ADMINISTRATOR:	ENGLAND, ELLEN		FACILITY TYPE:	840
ADDRESS:	2 STONE CREEK SOUTH		TELEPHONE:	(949) 857-1694
CITY:	IRVINE	STATE: CA	ZIP CODE:	92604
CAPACITY:	73	CENSUS: 8	DATE:	03/25/2021
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Ellen England, Director		TIME COMPLETED:	10:45 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	On 03/25/2021, at 10:15 a.m., Licensing Program Analyst (LPA), Stacy Torrence conducted a virtual inspection with Ellen England, Director. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. There were 8 children and 4 staff present. Due to COVID-19 state of emergency, a waiver to allow the usage of additional spaces, not licensed by the Department, to accommodate their existing school age children according to the current class size restrictions as a precautionary measure with the COVID-19 outbreak, waiver granted on 06/29/2020 until 09/29/2020, department has agreed to extend the waiver to 06/16/2021. An Orange County Fire Authority Permit was granted on 03/13/2020, to add the following rooms: Multipurpose Room (MPR), P1, and P6. Parents arrive and stand on the opposite side of the railing, while the children’s temperature is taken, parents then manually sign children in, in a notebook located on a table outside on the opposite side of the railing. Parent do not enter the classrooms. If children become ill during the day, they will rest in the isolation areas located either in the enclose area in room CC1 or the facility has access to a room, located in the school building. Children will use the school’s bathroom, located outside. Staff has access to the school’s main building, in which, the staff bathroom is located in the staff lounge. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness. Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. There’s a total of 6 bathrooms: one in room CC1, one in room CC2; and 4 bathrooms located on the school campus. There’s a total of 6 toilets and 4 sinks. Children bring their own water bottles from home, and there is a water faucet, located inside the classroom, available for children to re-fill their bottles. The facility also have extra disposal water bottles available for the children.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CREEKER'S CLUB	FACILITY NUMBER: 300605950
	VISIT DATE: 03/25/2021

NARRATIVE

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The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies,

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Orange County Child Care Office at (714) 703-2800.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

LIC809 (FAS) - (06/04)

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