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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313619673
Report Date: 09/09/2021
Date Signed: 09/09/2021 01:27:59 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KREATIVE KIDS LEARNING CENTER (INF)FACILITY NUMBER:
313619673
ADMINISTRATOR:WOODS, WANDAFACILITY TYPE:
830
ADDRESS:1515 CIRBY WAYTELEPHONE:
(916) 749-3329
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:12CENSUS: 10DATE:
09/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Wanda WoodsTIME COMPLETED:
01:30 PM
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On September 9th, 2021 at 11:45 pm Licensing Program Analyst (LPA) Jeremey McClain met with Director Wanda Woods to conduct a Case Management inspection, regarding a request to increase capacity. Licensee has requested to increase the total capacity for infants from 12 to 27. During today's inspection, LPA measured an additional room and outdoor activity area that will be utilized as a part of the increase.

LPA observed 10 infants supervised by three staff members.

Indoor Activity Area
LPA measured the additional infant room to be a total of 431.01 sq. ft. LPA observed age appropriate furnishings and equipment. LPA observed a changing table with padding that is at least 1-inch thick. LPA observed the changing table to be within arm’s reach of a sink. LPA observed additional sleep equipment, and 14 additional storage cubbies for children. Based on the measurements, the indoor activity area will accommodate 12 additional children.
OUTDOOR SPACE
LPA measured an additional outdoor play area to be a total of 1,972.3 sq. ft. This outdoor area is separate from the other infant area that was previously measured. A shaded area is available, and age appropriate equipment was observed. Director stated that water will available to children outside through a water cooler and cups. Based on the measurements, the outdoor activity area will accommodate 26 children.

A Fire Clearance was from the Roseville Fire Department was granted on 09/02/2021.

LPA discussed infant sleep regulations found in CCR 101429, 101419.2, 101430, and 101439.1.

A capacity increase to 24 infants is approved.

There were no deficiencies cited during today's visit. This report was reviewed with the director and an exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
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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