364842463-12-13-2019-12-CC-DMAX-BJTUSH-20191213145021

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364842463
Report Date: 12/13/2019
Date Signed: 12/13/2019 02:50:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	CREATIVE MIND LEARNING CENTER		FACILITY NUMBER:	364842463
ADMINISTRATOR:	JANELLE TOUSSANT		FACILITY TYPE:	840
ADDRESS:	15089 MESA STREET		TELEPHONE:	7609495300
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	22	CENSUS: 6	DATE:	12/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Sylivia Aguilar		TIME COMPLETED:	03:00 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) Maddox met with the Director/Owner Sylivia Aguilar for the purpose of conducting an unannounced Annual/Random inspection. The is a combination center which includes an Infant (X364842461) and School-age (X 364842463) component. Center maintains a physical separation indoors and outdoors. LPA toured and inspected the School-age room in accordance with the facility sketch, the School-age component is located in the main area where parents sign children in and out (South part of the property). Present during this inspection were 6 school-age children and Owner/Director and 1 Teacher. The facility operates from 6:00 am to 7:00 pm. LPA observed age appropriate toys, materials, furniture and equipment; All classrooms were clean and free of any Health of Safety hazards. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies in place for children's belongings. Drinking water is available inside the classrooms. LPA observed a sufficient quantity of cots available for napping children. Bedding is stored individually so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding; The sheets and blankets are washed (weekly or as needed) and cots are sanitized daily.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: CREATIVE MIND LEARNING CENTER	FACILITY NUMBER: 364842463
	VISIT DATE: 12/13/2019

NARRATIVE

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LPA inspected and observed 2 clean bathrooms. Toilets (2) and sinks (2) are functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate.

Children are inspected for illnesses (wellness policy) as they arrive. A review of medication policy indicated that prescription medication is not administered. There is a separate area for isolation and care of ill children in the office area.

There is a clean fully equipped kitchen (off limits) with refrigerator, freezer (2), stove and microwave oven. The facility provides breakfast, lunch, snacks (morning, afternoon, evening) and dinner. Allergy lists are posted kitchen. LPA observed an appropriate amount of food and snacks. The chemicals are kept separate from the food (kitchen locked cabinet).

Sign in and out sheets were reviewed. The parent board was reviewed and has all of the required forms posted. Fire/earthquake drills current. Roster current. There are fire extinguishers, smoke detectors, and carbon monoxide detectors in each classroom. All flooring and carpets were inspected for cleanliness, and in good repair.

Children's records and staff records were reviewed. Staff are certified in Pediatric CPR and First Aid expire 04/2020; have copies of mandated reporter certificates in file; and have required Immunization's. Staff file review reveals staff are qualified for their perspective positions. Children's files contain required forms and documents. Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: CREATIVE MIND LEARNING CENTER	FACILITY NUMBER: 364842463
	VISIT DATE: 12/13/2019

NARRATIVE

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**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes sand and hard rubber mats under climbing structure; there is sufficient and adequate shade available. Large play equipment and climbing structures are securely anchored (swing set and 1large climbing structures). The area was observed to be free of debris. Outside Drinking water is available in the form of a water cooler with cups. Sandboxes are raked and inspected daily and kept free of hazardous foreign materials. There are no bodies of water observed on the premises. The entire playground is enclosed to protect children and to keep them in the outdoor activity area. - Waiver on file for outdoor play yard.

The following general information was discussed during this 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

Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, child care providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: CREATIVE MIND LEARNING CENTER	FACILITY NUMBER: 364842463
	VISIT DATE: 12/13/2019

NARRATIVE

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Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

*All Licensing reports are available for review on-line and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website.

Fingerprint clearances and transfers: Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state licensed facility to another using form LIC

There were no violations noted as a result of this inspection, Center is operating in accordance to Title 22 Regulations. Copy of 811 (Confidential Names List) was provided during this inspection. Exit interview conducted and a copy of this report was left at the facility. A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

LIC809 (FAS) - (06/04)

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