364842463-2-9-2022-12-CC-LTMR-CBGTXB-20220209140651

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364842463
Report Date: 02/09/2022
Date Signed: 02/09/2022 02:07:00 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	CREATIVE MIND LEARNING CENTER		FACILITY NUMBER:	364842463
ADMINISTRATOR:	AGUILAR, SYLIVIA		FACILITY TYPE:	840
ADDRESS:	15089 MESA STREET		TELEPHONE:	(760) 949-5300
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	22	CENSUS: 5	DATE:	02/09/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:57 AM
MET WITH:	Silvia Aguilar		TIME COMPLETED:	02:23 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) Thompson-Miller met with the facility Director, Silivia and conducted a Random Annual Inspection for School-Age children in care. LPA toured and inspected the facility in accordance with the facility sketch. There were 5 children, one teacher and the Director on the premises. There is one classroom. The facility also is licensed for Infant program (#364842461) and Preschool program (#364842462). The facility operates Monday through Friday from 6:00 am to 6:30 pm. Incidental Medical Services (IMS) were discussed. Indoor/Children's Area: Child care center is clean, safe, sanitary and in good repair; all outdoor and indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean, cleaning compounds inaccessible, no poisons on the premises, furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate, each child has an individual permanent or portable storage space for his/her clothing, personal belongings. Trash cans for solid waste have tight fitting lids, drinking water is readily available indoors and outdoors (names are on the cup). All materials and surfaces are toxic free, fireplace is inaccessible, window screens in good repair and free of debris. There is a working Carbon monoxide detector, smoke detector and Fire Extinguisher (2A10BC). There is one toilet and one hand washing sink in safe and sanitary operating condition, working telephone service on the premises. There is an isolation area for children who become ill while in care located Teacher area, facility maintains a comfortable temperature at all times, first aid supplies (thermometer, bandages, scissors), sign in/out sheets available and completed daily. Smoking prohibited on the premises, daily inspection for illness, no prohibited child care items observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises. Indoor/outdoor activity space is physically separated from infant and preschool children; Restroom has individual privacy; meals (snacks) provided before/after school; Child Record reviewed and complete.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: CREATIVE MIND LEARNING CENTER	FACILITY NUMBER: 364842463
	VISIT DATE: 02/09/2022

NARRATIVE

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Napping
Children do not nap. Cots used are maintained in good condition, at least ¾ inch thick, wiped/cleaned/disinfected weekly or when needed, no contact with other children bedding. There is an area for rest, relaxation and play.
Restrooms
LPA inspected and observed one clean bathroom. Toilet (one) and sink (one) is functioning properly and are age appropriate. LPA observed soap, toilet paper and paper towels readily available. Water temperature is appropriate.
Toilet/sink safe and sanitary, no hot water. One toilet and one sink available for ill children, staff and emergency. Common towels or washcloths are prohibited. LPA observed paper towel and soap dispenser available for the children.
Outdoor
Facility has a shaded rest area (patio); free from hazard, holes, broken items, debris, dry grass; cushioning material underneath (sand) and around high climbing play equipment, swings and slide to absorb falls; sandboxes inspected daily, free of hazardous items; fence surrounding outdoor area, air conditioning equipment, water heaters, fuse boxes inaccessible. No bodies of water were observed.
Health Related Services
Medications inaccessible to children; non prescription medications have child’s name and are dated, stored in a lock container; written consent and instruction from child’s representative; a plan to document and report to child’s representative when medication is administered to a child; IMS plan on file (if applicable).

A review of medication policy indicated that non-prescription medication is administered only with parent's written permission. The Director and other administration staff administers medication and documents the dosage, date and time onto a log. Medication is brought and locked at the center (unless parent request daily return). Medication is properly labeled and stored in its original container. Medication is kept at the center until expiration date.

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

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: CREATIVE MIND LEARNING CENTER	FACILITY NUMBER: 364842463
	VISIT DATE: 02/09/2022

NARRATIVE

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Food Service
Facility food is safe, stored, prepared and served in a safe manner; kitchen, food preparation and storage areas are clean; dishes and utensils are clean and sanitized; menu posted one week or more in advance. Facility serves breakfast, snack, lunch and snack. Food preparation area is not being used for play activities or napping; food and beverages stored in covered containers at 45 degrees or less, no food damaged containers were observed. Food is stored in the kitchen and the supply room adjacent to the infant room.

Staff/Personnel Records
Director is qualified, Designation of Responsibility observed, immunization, TB clearance, health screening, criminal record statement, statement acknowledging suspected child abuse and mandated reporter were observed in file.

Facility Records
Roster, disaster drill log and CPR/First Aid (expire 05/30/202) and mandated report (expire 03/01/2022 ) were reviewed.

Documents Provided and or Discussed
Lead Flyer Requirement, forms and records to keep at the facility and IMS.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The Director shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of family child care laws or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: CREATIVE MIND LEARNING CENTER	FACILITY NUMBER: 364842463
	VISIT DATE: 02/09/2022

NARRATIVE

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Advisory/Other: First Aid kit was observed with supplies (thermometer) readily available. Electrical outlets are inaccessible, there are no recalled and or prohibited toys or sleep/play equipment observed on the premises. There are no window cords accessible to children. Child nap on cots.

Director advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

Director 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.

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: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: CREATIVE MIND LEARNING CENTER	FACILITY NUMBER: 364842463
	VISIT DATE: 02/09/2022

NARRATIVE

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A notice of site visit was given and must remain posted for 30 days.

Posting Requirements
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 393L), menu, car seat law (PUB 269), emergency disaster plan, earthquake preparedness checklist.
Child Care Centers
LPA reviewed with Director the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

No deficiency. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm.
Exit interview conducted and report was reviewed with Director Silvia Aguilar. This report was read and provided to Director Silvia Aguilar on this date.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Linda Thompson-Miller	TELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

LIC809 (FAS) - (06/04)

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