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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810159
Report Date: 10/05/2022
Date Signed: 10/05/2022 11:52:01 AM

Document Has Been Signed on 10/05/2022 11:52 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CREATIVE CHRISTIAN LEARNING CENTERFACILITY NUMBER:
503810159
ADMINISTRATOR:HARVEY, DEBORAHFACILITY TYPE:
850
ADDRESS:105 EAST G STREETTELEPHONE:
(209) 847-6820
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 35DATE:
10/05/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Emily WallTIME COMPLETED:
12:15 PM
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On October 5, 2022, Licensing Program Analyst (LPA) Brannon conducted an inspection to verify items cited during previous inspection on September 14, 2022 has been corrected. LPA met with Assistant Director, Emily Wall.

LPA toured the facility inside and outside during today's inspection. LPA reviewed with Assistant Director the corrections for deficiencies cited on September 14, 2022. The following citation was not corrected. The citation issued for missing TB test results or signed document showing children #2 and #3 were not in their file. LPA will provide a two week extension for licensee to ensure the required documentation is in the children's files. In rooms 2 and 3, licensee installed locking wheels on the cabinets. During today's inspection, LPA was able to move the cabinets. A return inspection will be conducted to ensure these items were corrected.

During today's inspection, LPA reviewed required documents for directors and assistant directors.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no citation was issued during today's inspection. Licensee was provided a copy of their appeal rights.

Exit interview conducted and report was reviewed with the licensee Assistant Director, Emily Wall.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2022
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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