426203223-1-17-2023-17-CC-GRES-CN72SB-20230117163852

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426203223
Report Date: 01/17/2023
Date Signed: 01/17/2023 04:39:00 PM

Document Has Been Signed on 01/17/2023 04:39 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	CREATIVE BEGINNINGS II		FACILITY NUMBER:	426203223
ADMINISTRATOR:	SMITH, SALLY ANNE		FACILITY TYPE:	850
ADDRESS:	240 PINAL AVE.		TELEPHONE:	(805) 938-1976
CITY:	ORCUTT	STATE: CA	ZIP CODE:	93455
CAPACITY:	48	CENSUS: 29	DATE:	01/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Sally Smith		TIME COMPLETED:	04:00 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 January 17, 2023 at 12:30 PM, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced 1 Year Required Inspection met with Licensee/Director Ms. Sally Smith. LPA explained the purpose of the inspection. LPA asked pre screening questions related to COVID -19 and responses indicate there are no COVID-19 exposure on site. The Child Care Center (CCC) operates Monday to Friday, from 7:00 AM to 5:00 PM. LPA in the company of the Licensee toured the Center inside and out. There were 29 day care children and 7 staff present. Licensing required forms are posted in the wall. The CCC provides morning and afternoon snacks to day care children. The outdoor playground is enclosed with the appropriate fencing. It has age appropriate toys and equipment. The playground has an ample amount of sand cushioning. The CCC has drinking water available for children inside and out. Children bring their own water bottles and they are refilled at the CCC when needed. LPA observed the water lead test result posted in wall. CCC uses a paper sign in /sign out and was found complete. A sampling of children and staff records were reviewed. Director's and Teachers' educational qualifications were verified. Teachers present have current Pediatric First Aid/CPR certificates that expire on 9/22/2023. All staff have taken the Mandated Reporter Training per AB 1207 and expire on 2/6/2024. Facility is following current Covid-19 guidelines. LPA reviewed the staff SB 792 Child Care Adult Immunization record and tuberculosis requirements. Staff # 5 and Staff 6 have no immunization record on file. Staff # 5 has no Health Screening Report on file. Continued on LIC 809C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CREATIVE BEGINNINGS II	FACILITY NUMBER: 426203223
	VISIT DATE: 01/17/2023

NARRATIVE

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During today's inspection, deficiencies were cited under Health and Safety Code

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/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.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were given and explained.

Exit interview conducted and report was reviewed with Director/Licensee, Ms. Sally Smith

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/17/2023 04:39 PM - It Cannot Be Edited

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: 01/17/2023

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
1 2 3 4	Based on record review the licensee did not comply with the section cited above in 2 (Staff # 5 and Staff # 6) out of 7 Staff have no immunization record on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/27/2023
	Plan of Correction
1 2 3 4	Licensee and Staff # 5 and Staff # 6 agreed to obtain the immunization record from the doctor. Licensee shall submit a written plan of correction to Comunity Care Licensing no later than 1/27/2023

Type B

Section Cited

CCR

101216(g)(2)

Personnel Requirements

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, 1 (Staff # 5) out of 7 persons has no Health Screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/27/2023
	Plan of Correction
1 2 3 4	Licensee and Staff 5 agreed to obtain a Health Screening with the Physician including the tuberculosis. Licensee shall submit a written plan of correction to CCL no later thatn 1/17/2023.

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 Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

LIC809 (FAS) - (06/04)

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