393621379-10-5-2023-53-CC-CPRA-CWBSGR-20231005135222

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393621379
Report Date: 10/05/2023
Date Signed: 10/05/2023 01:52:27 PM

Document Has Been Signed on 10/05/2023 01:52 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	CREATIVE CHILD CARE, INC. @ FOURTH STREET ECLC		FACILITY NUMBER:	393621379
ADMINISTRATOR:	GERALDINE MACIAS		FACILITY TYPE:	850
ADDRESS:	236 WEST FOURTH STREET		TELEPHONE:	(209) 851-8222
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95206
CAPACITY:	24	CENSUS: 9	DATE:	10/05/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:13 PM
MET WITH:	Geralldine Macias		TIME COMPLETED:	02:20 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	On 10/5/23, Licensing Program Analyst Carla Polanco Rivera (LPA) met with Site Director Geraldine Macias for the purpose of an unannounced Annual inspection. There were 9 children present at the start of the inspection. LPA toured the facility inside and out. Facility days and hours of operation are Monday- Friday from 7:00 AM to 5:30 PM. LPA reviewed care and supervision of children, staffing ratios, first aid supplies, furniture, equipment, fire drills and drinking water. There are adequate toys and equipment available for children. Outdoor play areas were toured, play structures for the children appeared to be in good repair, there is sufficient cushioning under the play structures to prevent injuries. Toileting facilities were in operating, safe, and sanitary condition. LPA observed all required forms posted. LPA observed proper storage of refrigerated foods which were dated and labeled. LPA reviewed the sign in/out binder and observed that the children are properly signed in. LPA reviewed children’s and all staff files. All staff present during today's inspection have fingerprint/background clearance. Licensee 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. LPA observed health screening reports with TB test and required MMR and TDAP vaccines for staff members. At least one staff member present today has current Pediatric CPR First Aid (Geraldine Macias, expiration 09/2025). LPA observed AB1207 mandated reporter training for all staff. Director was reminded that training's are to be renewed every two years. Mandated Reporter training is available at the following link: www.mandatedreporterca.com. Report continues on LIC809-C...

SUPERVISOR'S NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Carla Polanco Rivera	TELEPHONE: (916) 212-0752
LICENSING EVALUATOR SIGNATURE:	DATE: 10/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023

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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CREATIVE CHILD CARE, INC. @ FOURTH STREET ECLC	FACILITY NUMBER: 393621379
	VISIT DATE: 10/05/2023

NARRATIVE

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Director stated that there are no children needing medications at the moment, storage of medication was discussed.

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.

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/inspection-process.

Exit interview conducted and report was reviewed with Site Director, Geraldine Macias. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during the inspection

SUPERVISOR'S NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Carla Polanco Rivera	TELEPHONE: (916) 212-0752
LICENSING EVALUATOR SIGNATURE:	DATE: 10/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023

LIC809 (FAS) - (06/04)

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