343623141-5-12-2022-03-CC-LHAM-CECT7E-20220512142837

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343623141
Report Date: 05/12/2022
Date Signed: 05/12/2022 02:28:48 PM

Document Has Been Signed on 05/12/2022 02:28 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	CREATIVE SPIRIT LEARNING CENTER		FACILITY NUMBER:	343623141
ADMINISTRATOR:	BRANN, NICOLE		FACILITY TYPE:	850
ADDRESS:	10729 FAIR OAKS BLVD		TELEPHONE:	(916) 967-7883
CITY:	FAIR OAKS	STATE: CA	ZIP CODE:	95628
CAPACITY:	24	CENSUS: 8	DATE:	05/12/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Aruna Sankari		TIME COMPLETED:	02:45 PM

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All times on this report are approximations. At 12:45 p.m. on Thursday, May 12, 2022 Licensing Program Analyst (LPAs) Lea Habtom and Katrina Owens met wiith lead teacher Aruna Sankari for the purpose of an unannounced 1 year required inspection. Lead teacher Aruna guided LPAs on a tour of the facility, at which time a census of 8 preschool children supervised by 3 staff were observed. All individuals subject to criminal background review have obtained criminal record clearance. During the inspection, Director, Nicole Bran, arrived at the facility. Hours of operation is Monday thru Friday 9:00 am- 4:30 pm.

A health and safety inspection was conducted in the classrooms, restrooms, food service areas, and outdoor play areas. LPA observed the following documents are posted: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster,and daily schedule. The facility does not provide lunch or snacks, no menus were observed. Cleaning disinfectants and hazardous items are appropriately stored and inaccessible to children. Medications are stored, inaccessible to children. Director stated there are no poisons on the premises. Furniture and equipment are in good condition, and toileting facilities are in sanitary, and operating condition. Bins for solid waste in the kitchen have tight fitting lids. The floors appeared clean throughout the facility. Program has parents provide all food at this time due to COVID.

The children supply their own water bottles for indoor and outdoor water supply. LPA observed electronic sign in and sign out sheet. Playground equipment and surfaces are free of loose or sharp parts. LPA observed bark, sand and grass cushioning beneath the play structure. Outdoor shade is provided by trees and patio coverings. There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector.

At 1:30 p.m., LPA reviewed staff files. At least one staff member present today has current Pediatric CPR and First Aid certification. LPA observed immunization records and documentation of the educational background, training, and/or experience and mandated reporter certificates. http://www.mandatedreporterca.com/ (Report continues on 809-C)

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea Habtom	TELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: CREATIVE SPIRIT LEARNING CENTER	FACILITY NUMBER: 343623141
	VISIT DATE: 05/12/2022

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LPA reviewed children's records. Each child's file contained an emergency card, consent for emergency medical treatment, health history and notifications of children’s and parent’s rights.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

This facility provides Incidental Medical Services – IMS. Currently, the facility does not have any children on medication. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Center Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 513-0301 (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.ht

LPA discussed Assembly Bill 2370, which will require licensed Child Care facilities to test their water for excessive amounts of lead. Testing will be required beginning January 1st, 2020 to January 1st, 2023 and must be conducted every five years from initial testing.

Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

Exit interview conducted and report was reviewed with the licensee Nicole Brann. A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Lea Habtom	TELEPHONE: (916) 208-2538
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022

LIC809 (FAS) - (06/04)

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