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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191601794
Report Date: 02/27/2025
Date Signed: 02/27/2025 07:57:03 PM

Document Has Been Signed on 02/27/2025 07:57 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CREATIVE ARTSFACILITY NUMBER:
191601794
ADMINISTRATOR/
DIRECTOR:
NYLA TAYLORFACILITY TYPE:
850
ADDRESS:1423 WALNUT AVETELEPHONE:
(563) 591-0118
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 21DATE:
02/27/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Benjamin Stafford, Facility RepresentativeTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analysts (LPA) Alicia Mooberry, conducted an unannounced Case Management Inspection to the above facility for the purpose of following up on previous inspection on 1/17/25. During today’s inspection, LPA met with Facility Representative, Benjamin Stafford, who provided assistance and guided LPAs on a tour of the facility. The director was not present during this inspection. Also present was Staff #1 and Staff #2. Record Review shows that Facility Representative and Staff 2 do not have a background clearance as required. A civil penalty of $600 is assessed on this date.

There were 17 preschool children and 4 school age children present and 1 qualified staff. The facility is out of compliance for staff and child ratio.

The facility representative was reminded that the facility has unpaid licensing fees due in the amount of $726. LPA provided assistance on how to pay fees online.

Based on observations, interviews and record review, the facility is cited with 2 A deficiencies and 2 B deficiencies.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee/Director.

Exit interview conducted and report was reviewed with facility representative Benjamin Stafford. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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Document Has Been Signed on 02/27/2025 07:57 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 02/27/2025 at 02:55 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CREATIVE ARTS

FACILITY NUMBER: 191601794

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/28/2025
Section Cited
CCR
101170(e)(1)

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All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption...
This requirement is not met as evidenced by:
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Per Facility representative, Adult #1 and #2 will obtain background clearance prior to providing any care and supervision to children in care.
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LPA observed Adult #1 and Adult #2 present in the facility and providing care and supervision to children enrolled. Adult #1 has been present for more than 5 days, Adult 2 has been present 1 day, this poses an immediate risk to the health and safety
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Type A
02/28/2025
Section Cited
CCR101216.3a)(1)

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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...
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During this visit, the facilityr epresentative called parents to pick up children. Per facility representative additional staff will be hired to maintain ratio prior, an updated LIC 501, staff roster will be sent to LPA by poc due date.
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LPA observed 17 preschool children and 4 school age children present with 1 qualified staff. This poses an immediate risk to the health and safety of children in care.
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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:Denise Gibbs
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/27/2025 07:57 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 02/27/2025 at 03:11 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CREATIVE ARTS

FACILITY NUMBER: 191601794

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
CCR
101215.1(b)(

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All child care centers shall have a director...responsible for the operation of the center, for compliance with regulations...The child care center director, or the substitute director...shall be on the premises during the hours the center is in operation. This requirement is not met as evidenced by:
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Per Facility Representative, the director will be present during daycare hours and a Designation of responsibility be completed and submitted to the department by POC due date.
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Based on interview with Adult #1, who is currently the administrator of the facility, the director is not present today due to medical emergency. This is a potential risk to the health and safety of children in care
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Type B
03/14/2025
Section Cited
CCR101187(e)

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The failure of an applicant for licensure or a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license.”

This requirement is not met as evidenced by:
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Per Facility Representative the licensing fees due will be paid and proof of payment will be sent to LPA via email by POC due date.
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Per record review, the facility has unpaid licensing fees overdue in the amount of $726. This poses a potential risk to the health and safety of children in care
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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:Denise Gibbs
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
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