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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419522
Report Date: 01/31/2025
Date Signed: 01/31/2025 04:03:18 PM

Document Has Been Signed on 01/31/2025 04:03 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CREATIVE HANDS LEARNING ACADEMYFACILITY NUMBER:
197419522
ADMINISTRATOR/
DIRECTOR:
MADISON, NATASHA LORENEFACILITY TYPE:
850
ADDRESS:2320 W. MARTIN LUTHER KINGTELEPHONE:
(310) 462-6097
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 29DATE:
01/31/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:37 PM
MET WITH:Licensee - Natasha MadisonTIME VISIT/
INSPECTION COMPLETED:
04:18 PM
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Licensing Program Analyst (LPA), Keyona Scott, conducted an unannounced 3 - Year Required Annual inspection to the Child Care Center on 01/31/2025. LPA met with Licensee, Natasha Madison, and Assistant Director (A1) at 12:37 PM. LPA was guided on a tour inside and outside of the preschool facility by Assistant Director (A1). LPA observed proper teacher to children ratios. At 12:47 PM, LPA observed the preschoolers in their perspective classrooms napping or resting. LPA observed the following: fourteen (14) children to two (2) teachers in Classroom B used by the 3, 4 and 5 year olds; fifteen (15) children to two (2) teachers in Classroom C used by the 2 to 3 year olds; Classroom A was not utilized for the day due to not all children were in attendance. All Adults present, working and or volunteering at the Center have a criminal record clearance or exemption.
This is a preschool program that serves children ages two (2) years old until entry into first grade. There is also an active infant center (facility# 197419619) located on the premises. Operation hours are Monday through Friday 6:00 AM to 6:00 PM.

PHYSICAL PLANT
All areas identified on the Facility Sketch were inspected. The preschool program consists of three classrooms. LPA observed the following in each of the three classrooms: cubbies with each child's name, outlet covers over the electrical outlets that were not in use, table and chair sets, books, blocks, and other age-appropriate playthings. LPA also observed napping cots in each classroom.

The facility was kept clean, neat and orderly. LPA observed two restrooms utilized by the children in care. LPA observed four (4) toilets and two (2) sinks in the restroom located adjacent to Classroom A. LPA also observed one (1) additional sink outside of the restroom adjacent to Classroom A. LPA observed one (1) toilet, one (1) sink and one (1) changing station in the restroom located in Classroom C. LPA also observed one (1) additional changing station in Classroom C. LPA observed toilets and sinks to be safe, sanitary and functioning. PAGE 1
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419522
VISIT DATE: 01/31/2025
NARRATIVE
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All poisons and hazardous items are stored and inaccessible to children in care. All floors are clean and safe. LPA observed the classrooms and all kitchen areas and/or food preparation areas clean and free of litter, rubbish, and other hazardous conditions.

There are two outdoor play areas located at the front and rear of the facility. Both outdoor play areas are fully fenced. Outdoor play equipment is in safe condition and is free of sharp, loose or pointed parts. The surface of the outdoor activity spaces are maintained in safe conditions and are free of hazards. LPA observed age-appropriate play structures and equipment in the outdoor play areas with a cushioned surface to absorb a fall. There is adequate shade area in the outdoor play areas. Drinking water is readily available both indoors and outdoors.

FACILITY RECORDS

There is at least one person present at facility that is trained in Pediatric CPR and First Aid. Per file review, LPA observed completion of Mandated Reporter training certificate in one (1) out of three (3) staff's files reviewed.



LPA reviewed staff's files for the following Personnel Records in three staff's files during today's inspection:
  • Staff Qualifications
  • Proof of immunization of measles (MMR), pertussis (Tdap) and influenza/influenza waiver
  • Current Pediatric CPR and First Aid Certification
  • TB clearance or risk assessment
  • LIC 503 (Health Screening Report)
  • LIC 508 (Criminal Record Statement)
  • LIC 9108 (Statement Acknowledging Requirement to Report Child Abuse)
  • Mandated Reporter Training Certificate
  • LIC 9052 (Employee Rights)


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SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC809 (FAS) - (06/04)
Page: 8 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419522
VISIT DATE: 01/31/2025
NARRATIVE
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LPA reviewed the following Children's Records in five (5) children's files during today's inspection:
  • LIC 613A (Personal Rights)
  • Admission Agreement
  • LIC 700 (Identification and Emergency Information)
  • LIC 701 (Physician's Report)
  • LIC 995 (Notification of Parents' Rights)
  • LIC 627 (Consent for Emergency Medical Treatment)
  • Immunization Record


LPA observed the following documents posted during today's inspection:
  • Facility License
  • Menus
  • PUB 269 - Child Passenger Restraint System Poster
  • PUB 393 - Notification of Parents' Rights
  • LIC 610 - Emergency Disaster Plan
  • LIC 613A - Personal Rights

LPA reviewed the following documents during today's inspection:
  • Verification of Disaster Fire Drills - LPA observed log of fire disaster drills conducted 12/06/2024, 12/24/2024, 01/13/2025, 01/14/2025
  • Daily Activity Schedules - posted in the main office
  • Sign In/Out Sheets
  • LIC 9148 - Earthquake Preparedness Checklist

LPA identified the following locations during today's inspection:
  • Medication Storage Area for Children Requiring Permissible Medical Services- LPA observed medication to be properly stored and inaccessible to children in care
  • Functioning Carbon Monoxide Detector, Smoke Alarm(s) and Fire Extinguisher(s)


The facility was operating in substantial compliance during today's inspection on 01/31/2025. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies cited.
PAGE 3
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC809 (FAS) - (06/04)
Page: 9 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CREATIVE HANDS LEARNING ACADEMY
FACILITY NUMBER: 197419522
VISIT DATE: 01/31/2025
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The following was thoroughly discussed:
Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA referred Assistant Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Assistant Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

Exit interview conducted and report was reviewed with the Assistant Director.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

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SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
LIC809 (FAS) - (06/04)
Page: 10 of 10