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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625814
Report Date: 09/03/2024
Date Signed: 09/03/2024 11:45:39 AM

Document Has Been Signed on 09/03/2024 11:45 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CREATIVE CORNER PRESCHOOLFACILITY NUMBER:
343625814
ADMINISTRATOR/
DIRECTOR:		NICOLE BUNCHFACILITY TYPE:
860
ADDRESS:2641 COOPER WAYTELEPHONE:
(916) 837-1880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95864
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: 0DATE:
09/03/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Nicole BunchTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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On 09/03/2024, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat met with the Applicant Nicole Bunch for the purpose of an announced pre-licensing inspection. This is a change of ownership application from the previous licenses 343624078. The Applicant requests the following components for their program: An infant component which will serve 14 infant children ages 0-24 months and a preschool component which will serve 27 children ages 2 years to entry into first grade.

The program will operate 6:30 AM - 5:30 PM Monday through Friday. The fire clearance was granted on 05/23/2024 by the Sacramento Metropolitan Fire District. During this visit, LPA Manabat and the applicant reviewed the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, Menus, and Daily schedule. Applicant stated that the facility provides AM, PM, and lunch. Additionally, infants who are on solid foods will be provided meals. Parents are responsible for milk and formula for infants under 12 months old.

INDOOR ACTIVITY SPACE:
During the inspection, LPA Manabat observed 2 rooms for the infants and one room for the preschool children. LPA Manabat observed a sufficient amount of age-appropriate equipment, toys, tables, and cubbies. There is a first aid kit located in each classroom with an appropriate amount of supplies. The Facility Representative stated that the medications are stored in the front office. Applicant stated there are no firearms or bodies of water on the premises. Indoor and outdoor drinking water will be provided via water a water filter jug. LPA Manabat observed and tested a functioning carbon monoxide detector within the facility. (Report continued on subsequent LIC 809)
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2024
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CREATIVE CORNER PRESCHOOL
FACILITY NUMBER: 343625814
VISIT DATE: 09/03/2024
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LPA Manabat observed a sign-in/sign-out system within the facility. Additionally, during today's visit, LPA Manabat measured all classrooms intended for program use. LPA Manabat measured a total of: 532.23 square feet for the infant classrooms and 1,011.77 total square feet for the preschool classrooms. These measurements indicate that there is enough space to accommodate for the 14 infants and 27 preschoolers respectively.

In the infant rooms there are a total of 2 sinks and 2 changing tables; all changing tables are within arms reach of a sink. In the room with cribs, there are currently 4 cribs. Furthermore, in the preschool rooms there is a total of 4 toilets and 3 sinks available. For all components, the number of toilets and sinks will accommodate the facility's requested capacity. There is one private restrooms for the staff located near the front office. It was stated that any child(ren) who become ill during the day will be isolated in front office area. These children will utilize staff restrooms. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

OUTDOOR ACTIVITY SPACE:
During today's visit, LPA Manabat observed a total of two outdoor yards on site separated by wooden fencing. The infant component will utilize the smaller of the two yards, located behind the facility. The preschool programs will utilize the larger area that is located near the front of the facility. For all programs, LPA Manabat observed trees and sides of building that could be used to provide shade. All programs have enough substrate under the outdoor play areas to cushion a fall. Additionally, LPA Manabat noted that there are play structures on the preschool yard. Finally, LPA Manabat observed a sufficient amount of age appropriate equipment and toys for all outdoor play areas.

LPA Manabat measured a total of 1,069.21 square feet in the infant yard and 4,909.10 square feet in the preschool yard. The infant and preschool yards will accommodate 14 infants and 27 preschoolers respectively. LPA discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPAs discussed with Applicant any changes that may occur regarding the Director or an employee acting in the Director's absence must be reported to department within 10 working days. (Report continued on subsequent LIC 809)
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CREATIVE CORNER PRESCHOOL
FACILITY NUMBER: 343625814
VISIT DATE: 09/03/2024
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Facility Representatives was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Applicant was informed of the MyChildCarePlan.org site, 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.
The following item is required before a license will be issued:

1. Manager approval by Licensing Program Manager (LPM) Mai Lor.



Exit interview conducted and report was reviewed with the Applicant.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
LIC809 (FAS) - (06/04)
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