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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493393
Report Date: 09/09/2025
Date Signed: 09/10/2025 07:57:07 AM

Document Has Been Signed on 09/10/2025 07:57 AM - 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:
197493393
ADMINISTRATOR/
DIRECTOR:
ALFORD, ALYCEFACILITY TYPE:
830
ADDRESS:4925 WEST ADAMSTELEPHONE:
(323) 737-3449
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 6DATE:
09/09/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Licensee, Alyce AlfordTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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On 09/09/2025 Licensing Program Analyst (LPA) Brittany Lovest conducted an unannounced Plan of Correction Inspection at the above-mentioned address for the purpose of ensuring the standards are being met in accordance with California Title 22 Regulations and California Health and Safety Codes.

Upon arrival LPA met with Assistant Director, M.Cortez and discussed the purpose of the visit. LPA observed 6 children in care being supervised by 3 staff members.

Licensee Alyce Alford arrived to the Facility at 12:23pm.

LPA Lovest and conducted an unannounced Annual/ Random visit on 08/18/2025, and Licensee was cited for the following deficiencies:

101429(a)(1) Responsibility for Providing Care and Supervision for Infants LPA Lovest observed 4 out of 4 children were left without visual supervision in the napping room.

101419.2(a)(2) Infant Needs and Services Plan LPA Lovest reviewed records and observed 4 out of 4 children records were missing an authorized representatives’ signature and Director signature on Infant Needs and Service Plan.

101226(e)(4)(B)(1) Health-Related Services LPA Lovest observed one unlabeled opened medicine container in infants refrigerator without documentation from authorized representatives.

101227(a)(1)Food Services LPA Lovest observed 3 opened expired food containers and 1 opened expired beverage in refrigerator.

NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Brittany Lovest
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2025
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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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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KREATIVE KIDS INFANT & TODDLER CENTER
FACILITY NUMBER: 197493393
VISIT DATE: 09/09/2025
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During today's visit LPA Lovest observed the following:

1. One staff member and 6 napping children, Staff member providing visual supervision at all times observed during visit.

2. 7 of 7 Infant Needs and Service Plan Signed by Authorized Representative and Director.

3. LPA observed the infant room, no medication was observed during the visit.

4. LPA observed Food storage plan and observed food stored in kitchen to be fresh within expiration date.

Based on observation, interview and record review the 4 of 4 deficiencies given on 8/18/2025 have been corrected during today's inspection.

An exit interview was conducted. A copy of this report, notice of site visit, deficiencies clearance letter was discussed and provided to Licensee Alyce Alford.

NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Brittany Lovest
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC809 (FAS) - (06/04)
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