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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493392
Report Date: 07/17/2024
Date Signed: 07/17/2024 01:00:21 PM

Document Has Been Signed on 07/17/2024 01:00 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:KREATIVE KIDS INFANT & TODDLER CENTERFACILITY NUMBER:
197493392
ADMINISTRATOR/
DIRECTOR:
ALFORD, ALYCEFACILITY TYPE:
850
ADDRESS:4925 WEST ADAMSTELEPHONE:
(323) 737-3449
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 12DATE:
07/17/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:44 AM
MET WITH:Sade Williams, Center DirectorTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Lilia Hernandez and Roberto Luque Avila conducted an unannounced complaint inspection to the above facility on 07/17/2024. LPAs arrived at the facility at 9:20AM and met with Sade Williams, Center Director. LPAs singularly conducted a tour of the facility per Center Director’s directive. There were 12 children, and 1 staff upon arrival.

The purpose of the visit is to address deficiencies that were discovered during an inspection of a complaint investigation conducted by the Department.

Upon arrival, Center Director stated to LPAs that today was not a good day due to water play activity. LPAs reminded Center Director regarding Inspection of Authority. Center Director spoke to LPAs in a loud voice in front of children in care addressing the interviews that were conducted during a previous investigation.

At 11:50AM, LPA Luque Avila observed Staff #1 outdoors with 7 children. Children were engaged in a water activity. Children were playing in an inflatable water slide. (photo taken)

There shall be at least one adult who has a valid water-safety certificate on file at the center present during water activities.

A ratio of not less than one adult, including teachers, to every six children, or fraction thereof, shall be maintained during water activities in or near any of the bodies of water.

Inflatable water slide has an instruction label that indicates inflatable water slide of for children 3 years and above. There is also a warning indicating there should be a maximum of 3 players at a time for the whole product and maximum of 2 players at a time for the inflatable part. (photo taken) ---Page 1 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2024
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 3
Document Has Been Signed on 07/17/2024 01:00 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 07/17/2024 at 12:09 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KREATIVE KIDS INFANT & TODDLER CENTER

FACILITY NUMBER: 197493392

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/02/2024
Section Cited
CCR
101216.6(a)

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Staffing for Water Activities (a) There shall be at least one adult who has a valid water-safety certificate on file at the center present during water activities in or near any of the following bodies of water...
This requirement is not met as evidenced by:
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Per Center Director, a copy of a current and valid water safety certificate will be submitted to LPA Hernandez via email by POC Due Date.
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Based on disclosures made, the licensee did not comply with the section cited above in Center Director was not able to provide proof of certificate to LPAs during inspection which poses a potential health, safety or personal rights risk to persons in care.
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Type B
07/17/2024
Section Cited
CCR101216.6(b)

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Staffing for Water Activities (b) A ratio of not less than one adult, including teachers, to every six children, or fraction thereof, shall be maintained during water activities in or near any of the bodies of water...
This requirement is not met as evidenced by:
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Per Center Director, water safety ratios of 1 adult to every six children will be implemented immediately and regulation will be reviewed with staff. Meeting Agenda and sign in signatures of staff in attendance will be submitted via emial to LPA Henandez by POC due date.
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Based on observations, the licensee did not comply with the section cited above in At 11:50AM, LPA Luque Avila observed Staff #1 outdoors with 7 children engaged in a water activity. Children were playing in an inflatable water slide. (photo taken) which poses a potential health, safety or personal rights risk to persons 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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2024


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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KREATIVE KIDS INFANT & TODDLER CENTER
FACILITY NUMBER: 197493392
VISIT DATE: 07/17/2024
NARRATIVE
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Per Center Director, They may or may not have a certificate. Center Director was not able to provide proof of certificate to LPAs during inspection.

The following deficiencies listed on the attached deficiency pages are being cited in accordance with California Code of Regulations Title 22.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Sade Williams, Center Director.

---Page 2 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
LIC809 (FAS) - (06/04)
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