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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808039
Report Date: 02/06/2026
Date Signed: 02/06/2026 05:08:59 PM

Document Has Been Signed on 02/06/2026 05:08 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:DERMER'S CREATIVE CARE TOOFACILITY NUMBER:
103808039
ADMINISTRATOR/
DIRECTOR:		DERMER, SANDRA SUEFACILITY TYPE:
850
ADDRESS:8855 N. CHESTNUTTELEPHONE:
(559) 325-6913
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY: 81TOTAL ENROLLED CHILDREN: 38CENSUS: 26DATE:
02/06/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Licensee Sandra DermerTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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On February 6, 2026, Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced Case Management – Incident inspection. LPA met with Licensee Sandra Dermer and toured the facility. A census was taken. The purpose of today’s inspection was to follow up on an Unusual Incident that was reported to the Fresno Child Care Regional Office by phone on January 23, 2026, and documented on LIC 624 received on February 4, 2026. The incident occurred on January 22, 2026, in Classroom #2 and involved a child sustaining an injury that required medical treatment.

Based on the LIC 624 and interviews, a child was in Classroom #2 at approximately 5:20 PM. While walking near the sink and easel area, the child tripped and struck their eyebrow on the corner of an easel near the circle time area and close to the children’s sink and drinking fountain, resulting in an injury. Staff was present and actively supervising and stated the child was walking toward the sink to get a drink of water when the incident occurred. Immediate first aid was provided, and the parent/authorized representative was contacted and arrived within approximately 10 to 15 minutes to pick up the child and take them for medical care. Stitches were administered, and records confirm the child returned to care and remains actively enrolled.

During today’s visit, LPA conducted observations in Classroom #2 where the incident occurred. LPA observed that the classroom was maintained in a safe condition and free of hazards. The easel had been relocated as a contingency to create more space near the sink area, reducing congestion in that part of the classroom. LPA interviewed staff present during the incident and reviewed facility records, including LIC 624, attendance logs, and ratio documentation for January 22, 2026 (continued on LIC809-C).

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: DERMER'S CREATIVE CARE TOO
FACILITY NUMBER: 103808039
VISIT DATE: 02/06/2026
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Based on interviews, record review, and observations, this was determined to be an isolated incident and not the result of a lack of supervision. Staff were within ratio and practicing proper supervision at the time of the incident. The facility uses scanning practices to ensure children are supervised in all areas. Staff took appropriate measures to address the situation and prevent recurrence.

LPA reviewed reporting requirements with Licensee Sandra Dermer and reminded her that incidents requiring medical attention must be reported to Child Care Licensing within 24 hours. LPA also discussed maintaining direct visual supervision at all times and ensuring classroom layouts minimize potential hazards.

Exit interview was conducted, and the report was reviewed with Licensee Sandra Dermer. Appeal rights were provided. Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiencies were cited during today’s inspection. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and is required to be posted for 30 days (end of report).

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026
LIC809 (FAS) - (06/04)
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