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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426203223
Report Date: 02/02/2022
Date Signed: 02/03/2022 05:15:34 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CREATIVE BEGINNINGS IIFACILITY NUMBER:
426203223
ADMINISTRATOR:SMITH, SALLY ANNEFACILITY TYPE:
850
ADDRESS:240 PINAL AVE.TELEPHONE:
(805) 938-1976
CITY:ORCUTTSTATE: CAZIP CODE:
93455
CAPACITY:48CENSUS: 38DATE:
02/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sally Anne SmithTIME COMPLETED:
01:45 PM
NARRATIVE
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On February 2, 2022, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Required -1 year inspection and met with Licensee/Director Sally Ann Smith. Prior to inspection, LPA asked pre screening questions related to COVID-19, Licensee's responses indicate there are no COVID 19 exposure on site. LPA discussed the purpose of the visit. The Child Care Center (CCC) operates Monday to Friday, 7:00 AM to 5:00 PM

LPA in the company of Licensee toured the Center inside and out. There were 38 children and 6 staff present during the inspection. Licensing required notices were posted by the entrance door. There are two restrooms with enough toilets and sinks available for children's use. The CCC was observed to be clean and free of hazardous items. The CCC has age appropriate games, activities, and furniture available for children in care. The center provides daily snack to children in care. Playground is enclosed by an appropriate fence and is equipped with age and size appropriate equipment. An adequate amount of sand cushioning is in place under the play equipment.

Sign in/sign sign out was reviewed and meets the regulation requirements A sampling of children's records were reviewed. Teachers present have current Pediatric First Aid/CPR certificates that expire on 08/15/2023. Staff 1 to 6 have not renewed/taken the Mandated Reporter Training per AB 1207. Staff 2,4,6 have no LIC 503 Health Screening on file. Staff 3,5 and 6 have no record of immunization. Staff 2,3,4,5,6 have no record of Tuberculosis Clearances on file. Facility is following current Covid-19 guidelines.

During today's inspection, deficiencies cited under California Code of Regulation Title 22 Division 12 and Health and Safety Code.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CREATIVE BEGINNINGS II
FACILITY NUMBER: 426203223
VISIT DATE: 02/02/2022
NARRATIVE
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The CCC is not providing Incidental Medical Services (IMS) 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/process.

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.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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



Exit interview conducted and report was reviewed with Licensee/Director Sally Anne Smith.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CREATIVE BEGINNINGS II
FACILITY NUMBER: 426203223
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on record review, the licensee did not comply with the section cited above, STaff 3, 5 and 6 have no record of immunization on file which poses/posed a potential health, safety to persons in care.
POC Due Date: 02/16/2022
Plan of Correction
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2
3
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Licensee agreed to submit the proof Staff immunization record and submit to CCL no later than 2/16/2022
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care 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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on record review, the licensee did not comply with the section cited above Staff 1 to 6 have not renewed/taken the Mandated Reporter Training per AB 1207 which poses/posed a potential health, safety to persons in care.
POC Due Date: 02/16/2022
Plan of Correction
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Licensee agreed that all staff will take the Mandated Reproter Training and submit the Certificate to CCL no later than 2/16/2022
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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CREATIVE BEGINNINGS II
FACILITY NUMBER: 426203223
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/02/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA review of staff records, the licensee did not comply with the section cited above Staff # 2,4,6 have no LIC 503 Health Screning Report on file and these employees have been working for more than 30 days which poses/posed a potential health, safety to persons in care.
POC Due Date: 02/16/2022
Plan of Correction
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Licensee/Director agreed to submit proof of correction no later than 2/16/2022. Staff 2, 4 and 6 will obtain the LIC 503 and keep it in their employee's file in the CCC.
Type B
Section Cited
CCR
101217(a)(12)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above Staff 2,3,4,5,6 have not Tuberculosis Clearances on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/16/2022
Plan of Correction
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Licensee agreed to submit proof of Staff Tuberculosis Clearances no later than 2/16/2022.
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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4