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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393605031
Report Date: 02/13/2020
Date Signed: 02/13/2020 01:42:18 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:CREATIVE CHILD CARE, INC.@CREATIVE HEAD STARTFACILITY NUMBER:
393605031
ADMINISTRATOR:SHAWNETTE GLADNEYFACILITY TYPE:
850
ADDRESS:7505 TAM O'SHANTERTELEPHONE:
(209) 956-2686
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY:144CENSUS: 70DATE:
02/13/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Shawnelle GladneyTIME COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs) Aruna Sridharan and Gagandeep Singh met with director Shawnette Gladney for inspection of Plan of Correction. Purpose of the inspection was explained. During the previous inspection on January 30th, 2020 the facility received citation for not having criminal background clearance associated to the facility and the staff being present.

During today's inspection, LPAs did the record review, during which it was established that the association has been completed for the staff member. The facility is operating in compliance.

This clears the previously issued citation. No citation given today. Copy of this report is provided to the director. Notice of Site Visit posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna SridharanTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
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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