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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493393
Report Date: 05/14/2024
Date Signed: 05/14/2024 12:18:00 PM

Document Has Been Signed on 05/14/2024 12:18 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:
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: 5DATE:
05/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:31 AM
MET WITH:Sade Williams, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Lilia Hernandez and Roberto Luque Avila conducted and unannounced inspection to the above facility on 05/14/2024. LPAs arrived at the facility at 10:31AM and met with Sade Williams, Director, who guided LPA on tour of the facility. There were 5 children and 2 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 arriving to the facility, LPAs observed Staff #1 working at the facility prior to Licensee requesting a criminal record clearance. Staff #1 was not listed on the facility roster. LPAs were provided copies of Staff #1 identification and LIC9182 Criminal Background Clearance Transfer Request that were used to process background clearance before employment began. Staff #1 has been employed at the facility for almost a year. (No date provided)

Director disclosed that documents were submitted to the Department during a previous inspection. Director was under the assumption that Staff #1 criminal record clearance was processed but was unable to produce records/proof that Staff #1 was added to Guardian.

LPA Hernandez advised Director to call the Department to verify Staff#1 status in Guardian. Support Staff confirmed Staff #1 had a profile in Guardian, however, Staff #1 did not have a current criminal record clearance and was not associated to KREATIVE KIDS INFANT AND TODDLER CENTER (197493393).

LPAs advised Director that all individuals prior to working, residing, or volunteering in a licensed facility, shall have a criminal record clearance or a criminal record transfer.
The following deficiencies listed on the attached deficiency pages are being cited in accordance with California Code of Regulations Title 22. ---Page 1 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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
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: 05/14/2024
NARRATIVE
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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. The Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

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, Director.

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

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/14/2024 12:18 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 05/14/2024 at 11:40 AM
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: 197493393

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/14/2024
Section Cited
CCR
101170(e)(1)

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Criminal Record Clearance (e) All individuals subject to a criminal record review...prior to working, residing or volunteering in a licensed facility:(1)Obtain a California clearance or a criminal record exemption as required by the Department...
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Per Director, Staff #1 will be asked to leave the facility and not return until background clearance is processed and Staff #1 is associated to the facility.
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This requirement was not met as evidenced by Upon arriving to the facility, LPAs observed Staff #1 working at the facility prior to Licensee requesting a criminal record clearance which poses an immediate health, safety, and personal rights risk to 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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/14/2024


LIC809 (FAS) - (06/04)
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