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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300339
Report Date: 12/22/2023
Date Signed: 12/22/2023 10:24:41 AM

Document Has Been Signed on 12/22/2023 10:24 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CREATIVE LEARNING CENTERFACILITY NUMBER:
376300339
ADMINISTRATOR:HERNANDEZ,MARIAFACILITY TYPE:
850
ADDRESS:650 DOUGLAS DR #101TELEPHONE:
(760) 805-6478
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 35TOTAL ENROLLED CHILDREN: 28CENSUS: 9DATE:
12/22/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Maria HernandezTIME COMPLETED:
10:30 AM
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On December 22, 2023 at 9:45 AM, Licensing Program Analyst (LPA) Cindy Hamilton arrived at the facility to conduct a "Plan of Correction" (POC) visit. LPA Hamilton met with owner/director Maria Hernandez. During a previous visits conducted by LPA's Cindy Hamilton and Amber Shaw on 11/01/23 the facility was issued citations for Title 22 Section 101238 Buildings and Grounds.

The plan of correction for the citations was to repair and/or replace leaking air conditioner and ceiling tiles, check for mold and have a Pest Control company serve the center.

During the POC visit, LPA inspected the kitchen, Grasshopper and Lady Bug classrooms where the flying insects were observed. LPA observed that the flying insects were no longer present and was advised by Owner/Director that Lloyd Pest Control came out again on December 8, 2023 after hours and treated the facility. Owner/Director also advised that she has been unsuccessful in obtaining documentation regarding the pest control for the child care center from the property management company. In addition, LPA was previously advised that Fire Force would be coming out on December 28, 2023, to replace the remaining ceiling tile.

The Plan of Correction noted on 11/01/23 is being extended at this time until December 29, 2023 for Director/owner to provide proof of replaced ceiling tile.

An exit interview was conducted, a copy of this report, appeal rights and the notice of site visit were reviewed with the Director/owner, Maria Hernandez. Director was reminded that the notice of site visit must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 12/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/22/2023
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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