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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547203430
Report Date: 07/28/2023
Date Signed: 07/28/2023 02:11:22 PM

Document Has Been Signed on 07/28/2023 02:11 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
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:CREATIVE CENTER, THEFACILITY NUMBER:
547203430
ADMINISTRATOR:GLICK, TIMOTHY J.FACILITY TYPE:
775
ADDRESS:410 E. RACE STREETTELEPHONE:
(559) 733-9329
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 115CENSUS: 68DATE:
07/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Celeste Chavez, Program ManagerTIME COMPLETED:
02:30 PM
NARRATIVE
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On 7/28/23 at 9:00 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and met with Program Manager Celeste Chavez and Administrator Timothy "Joel" Glick.

LPA toured the facility and did not observe any obstructions. Facility was set at a comfortable temperature. Facility has an installed pull station fire alarm. Hot water in Studio 1 classroom measured at 115.6 degrees F. Facility does not assist with self-administration of medication. Sick room observed. Chemicals are stored in locked closet in Tech room. A sample of staff and client records were reviewed. Hand sanitizer was readily available. Hand washing signs observed.

The following deficiencies were observed:
1. Hot water in the gallery's women's restroom sink measured at 122.4 degrees F.
2. All fire extinguishers installed on facility premises observed last serviced on 12/8/21.

Deficiencies are being cited based on LPA observation and interview conducted in accordance with the California Code of Regulations, Title 22, see LIC809D.

An exit interview was conducted and Plans of Corrections were reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and left with Program Manager, whose signature on this form confirms receipt of these documents.

The following updated documents are to be submitted within 2 weeks:


LIC308, LIC500, LIC9020, LIC610D (new revision), Copy of current Admission Agreement
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2023
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 6
Document Has Been Signed on 07/28/2023 02:11 PM - It Cannot Be Edited


Created By: Malia Thao On 07/28/2023 at 01:22 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
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: CREATIVE CENTER, THE
FACILITY NUMBER: 547203430

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
82088(e)(1)
Fixtures, Furniture, Equipment, and Supplies
(1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. Hot water in gallery women's restroom sink measured at 122.4 degrees F, which poses an immediate safety or personal rights risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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Administrator immediately readjusted the water heater temperature. LPA re-measured the hot water in the gallery's women's restroom sink at 120 degrees F. POC cleared during the inspection.
Type A
Section Cited
CCR
82020
82020 Fire Clearance
All day programs shall secure through the licensing agency and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, the licensee did not comply with the section cited above. All fire extinguishers installed on facility premises observed last serviced on 12/8/21, which poses an immediate safety or personal rights risk to persons in care.
POC Due Date: 07/31/2023
Plan of Correction
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Administrator will submit proof of all fire extinguishers serviced, to CCL by POC due date.
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:Melinda Hoffmann
LICENSING EVALUATOR NAME:Malia Thao
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2023


LIC809 (FAS) - (06/04)
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