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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017928
Report Date: 03/21/2024
Date Signed: 03/21/2024 04:51:05 PM

Document Has Been Signed on 03/21/2024 04:51 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CREATIVE KID STOPFACILITY NUMBER:
198017928
ADMINISTRATOR:SANDRA SCANTON-LEEFACILITY TYPE:
850
ADDRESS:1901 SANTA ANA BLVD.TELEPHONE:
(323) 567-6543
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY: 19TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
03/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Lovella Mays, TeacherTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced annual inspection on this date 3/21/24. LPA met with Lovella Mays, Teacher and Maria Mendez, Assistant Teacher. LPA explained the purpose of the inspection and provided the Entrance Checklist LIC 125, who guided analyst on a tour of the facility. This is a preschool program which consists of 1 classroom. Facility operation hours are Monday to Friday from 7:30 AM to 4:00 PM. Shelley Williams, Director arrived at 2:00pm.

Upon arrival, there were 2 children in care. A review of the sign in/out sheet was conducted to verify the current census of children. Three teachers were present. Classroom was found to be clean and free from any potential hazards. A record of teacher’s names was checked against current facility roster. Staff are currently associated to the facility.

Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Drinking water is readily available in classroom. Director states that the isolation area for sick students is in the corner of the room. There is a separate bedding for ill children.

The bathroom areas were inspected. Toilets flush properly. Toilets and sinks are reachable by the children in care. The bathrooms have adequate toilet paper and paper towels available. The bathrooms were found to be clean. There is adequate lighting/ventilation in the bathrooms.



School provides breakfast, lunch and PM snack for the children in care. Food preparation areas are not accessible to the children in care Menus are posted. There is adequate food for snacks. Cleaning agents are kept in locked cabinet in overhead cabined in the bathroom.

Furniture and equipment were inspected for age appropriateness and in good repair. Telephone service, heating, lighting and ventilation were evaluated. Page 1

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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 03/21/2024 04:51 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 03/21/2024 at 02:46 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 KID STOP

FACILITY NUMBER: 198017928

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/21/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
WD
101700(b)
Written Directives for Lead Testing
(b) All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead pursuant to these written directives.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above due to water fountain in the ply area is accessible to children in care which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/21/2024
Plan of Correction
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The water fountain in the play area was shut off. The facility provided bottled water for drinking and food preparation. Per licensee, the water will be tested for led and will provided proof to the department.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024


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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CREATIVE KID STOP
FACILITY NUMBER: 198017928
VISIT DATE: 03/21/2024
NARRATIVE
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Children have their own cubby to store their belongings. Linens are provided by the facility and are laundered weekly. Napping equipment (mats) were observed in a separate storage room.

Per director, the isolation area is in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Carbon monoxide detectors were observed and are operable.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. LPA advised that no children shall be left without the supervision of a teacher at any time.

Facility Representative 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 informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information. All care for children require supervision at all times. If away from the facility, staff must be with children at all times (especially when outdoors).


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SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CREATIVE KID STOP
FACILITY NUMBER: 198017928
VISIT DATE: 03/21/2024
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The Child care Center DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE based on Written Directives outlined in PIN 21-21.1-CCP. LPA referred the Facility Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPA observed a water fountain in the yard where children play that is accessible to children in care. This poses an immediate risk to the health and safety of the children in care. The water fountain water was turned off during this visit. Per Director, the children do not drink for the fountain and have their own bottled water accessible since 2020. LPA observed bottled water and individual water cups in each child's cubbie.

Staff and Children files were not reviewed during this visit. LPA will conduct another inspection for the purpose of file reviews.

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/tion-process.

Exit interview was conducted with Shelley Williams, Director, and a copy of Appeal Rights (LIC 9058) was discussed and provided

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC809 (FAS) - (06/04)
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