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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 515402561
Report Date: 10/16/2019
Date Signed: 10/16/2019 11:03:22 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CREATIVE KIDS - INFANTFACILITY NUMBER:
515402561
ADMINISTRATOR:WESTMORELAND, AMANDAFACILITY TYPE:
830
ADDRESS:883 SOUTH WALTON AVENUETELEPHONE:
(530) 751-0678
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:8CENSUS: 8DATE:
10/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:04 AM
MET WITH:Michelle LightleTIME COMPLETED:
11:10 AM
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An inspection was made to the facility by LPA's Martinez and Grisak. The facility file was reviewed prior to this visit. A review of the personnel report on 10/15/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
This facility is open Monday through Friday 6AM-6PM. The facility was toured inside and outside and the floor and yard plan were verified. Activity space for infants is separate from other age groups. During today's visit it was noted poisons are maintained in the main preschool area and not in the infant building. The items which could pose a danger to children (detergents and cleaning compounds) were inaccessible to children in their respective classrooms. The facility was free of flies, insects and rodents. The toys, floors, and other equipment and surfaces appeared clean, toxic free, safe for infants and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The infant changing tables have at least 3" sides and sanitary vinyl pads that are at least 1" thick. There was sufficient napping equipment (cribs and cots) available that meet requirements. A current menu was posted. Food prep areas are clean. Food is properly stored and refrigerated as needed. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition. There were no bodies of water observed. The director stated no weapons are stored on site and none were observed. During today's inspection, infant/toddler staffing ratios were being met and children were being directly supervised. The facility was operating within the licensed capacity. At least one staff member present possessed current CPR and First Aid certifications. Full signatures were observed on sign/in, sign-out sheets.

See LIC 809-C for further:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah MartinezTELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: CREATIVE KIDS - INFANT
FACILITY NUMBER: 515402561
VISIT DATE: 10/16/2019
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Children’s records were reviewed and contained identification forms with authorized representative information, infant feeding plans and Infant Needs and Services Plans. Staff records were reviewed and contained documentation of education and training, as required.

This facility is not providing Incidental Medical Services – IMS, however the facility does have an IMS Plan in place. 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. 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: www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the director. All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah MartinezTELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
LIC809 (FAS) - (06/04)
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