Dermer's Creative Care

Based on interviews and record review, it has been determined that a child sustained an amputation injury to their finger while playing with a basketball hoop net due to staff failing to provide adequate visual observation and supervision. This poses an immediate risk to the health, safety, and/or personal rights of children in care. 8 By 01/22/2026 facility will provide written proof that a protective measure has been implemented to ensure the basketball hoop is safe for the use without the net, and copy of the staff attendance sign-in sheets with the date of completion indicating that all staff members have been trained and understand children’s supervision requirements, children’s personal rights, and health and safety practices for children in care.

Based on observation, the licensee did not comply with the section cited above. LPA observed both playground structures located on east and northwest of the building have multiple large holes next to the cement area where the children could trip and hit the cement. This poses a potential health, safety or personal rights risk to children in care.

Based on record review, the licensee did not comply with the section cited above. LPA observed that the facility completed water testing and results indicated that the drinking and cooking have exceedance the 5.5 ppb. Facility failed to remediating lead exceedance. This poses a potential health, safety, or personal rights risk to children in care.

Based on record review, the licensee did not comply with the section cited above. On 07/31/2023, facility representative provided proof that the facility has their drinking and cooking water tested and have lead exceedance on multiple faucets. Facility representative stated that he is scheduling an appointment for the water to retest for lead level as the faucets have been replaced. During today’s inspection, Licensee failed to provide retest results for the building as the building was constructed before January 1, 2010. This poses a potential health, safety, or personal rights risk to children in care. 8 Facility representative agrees to submit proof to Community Care Licensing (CCL)-Fresno by 12/18/2023.

Licensee failed to submit proof that Staff #1 meets the requirement as a Site Supervisor. Facility representative stated that Staff #1 just started her employment with this facility as 1 Facility representative agrees to submit proof to CCL-Fresno Office by 12/18/2023 that Staff #1 meets the requirements as a Site Supervisor. Site Supervisor on 12/04/2023. This poses a potential health, safety, or personal rights risk to children in care.

Based on record review, the licensee did not comply with the section cited above. Per Licensee Lead Testing will be conducted on 07/15/2023. Licensee failed to provide testing result for building as building was constructed before January 1, 2010, which poses a potential health, safety, or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above. Staff 1, 2, and 3 had no current mandated reporter training which poses a potential health, safety or personal rights risk to persons in care.

Staff did not provide adequate supervision resulting in day care child sustaining an injury.