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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843157
Report Date: 11/10/2020
Date Signed: 11/10/2020 01:16:49 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CREATIVE EXPLORERSFACILITY NUMBER:
364843157
ADMINISTRATOR:MILLNER, MARIA DEL CARMENFACILITY TYPE:
840
ADDRESS:1335 W. FOOTHILL BLVD.TELEPHONE:
(909) 946-3500
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY:60CENSUS: 25DATE:
11/10/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Maria Del Carmen MillnerTIME COMPLETED:
01:15 PM
NARRATIVE
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On date and time listed, Licensing Program Analyst (LPA) Nelson Zuniga conducted a tele-inspection (video call) via Facetime with the Licensee, due to COVID-19 and DPH guidelines of social distancing. A tour of the facility was conducted via Facetime.

The following information is learned. Two children in care were involved in an altercation. Staff interviews disclosed that the children were seen gathering by staff and immediately intervene. Per staff, staff did not see children throw punches, kick or hit each other. However, the children interviews disclosed that these two children had enough time and were able to hit and kick each other prior to staff intervening.

Based on the information gathered, there is a violation pertaining to the incident and the following violation has been identified: Lack of supervision occurred while children were fighting, which resulted in these children hitting and kicking each other, only after a group of children began to gather, staff member recognized that there was something happening between the children. Per Title 22 regulations, children shall be supervised at all times.


See LIC 809D for cited deficiency per Section 101229(a)(1) of the California Code of Regulations, Title 22, Division 12.
An exit interview was conducted. A copy of this report is being emailed to Licensee. A read receipt from the email sent to Licensee will be in lieu of the signature for this tele-inspection.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2020
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CREATIVE EXPLORERS
FACILITY NUMBER: 364843157
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/17/2020
Section Cited

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Responsibility for Providing Care and Supervision 101229(a)(1) The licensee shall provide care and supervision necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation
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This requirement was not met as evidence by:Children interviews disclosed that 2 children were involved in an altercation, whereby these children had time to hit and kick each other. Staff intervene as soon as staff saw children gathering around the two children who were fighting. This prevented the .........................
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:
DATE: 11/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/10/2020
LIC809 (FAS) - (06/04)
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