013415231-4-7-2021-52-CC-MOTI-BZUV4H-20210407160622

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013415231
Report Date: 04/07/2021
Date Signed: 04/07/2021 04:07:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KIDANGO-DECOTO		FACILITY NUMBER:	013415231
ADMINISTRATOR:	GARCIA, CATALINA		FACILITY TYPE:	850
ADDRESS:	600 G STREET		TELEPHONE:	(510) 675-7101
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	74	CENSUS: 18	DATE:	04/07/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Margarita Saucedo/Ysenia Alvarez		TIME COMPLETED:	02:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	THIS VISIT WAS CONDUCTED VIA THE ZOOM PLATFORM DUE TO THE COVID-19 PANDEMIC Licensing Program Analyst (LPA) Melanie Otsuji conducted the announced Case Management Inspection via the ZOOM platform. LPA was met by Program Compliance Manager, Margarita Saucedo, and Program Compliance Assistant Manager, Yesenia Alvarez. Present during today's visit were 18 preschool aged children and 6 staff members. This is a TITLE V center. The center has submitted an application for a CAPACITY DECREASE AND ROOM/YARD REMOVAL. The facility is removing Room 20 on New Haven Adult School's campus and removing play yard nearest H street. Facility is currently requesting to decrease from 74 preschoolers to 48 preschoolers. A virtual health and safety inspection was conducted inside and outside. Facility days and hours of operation are Monday through Friday 7:00AM - 6:00PM. The facility measurements are as follows: INDOORS: 1769.00 SQUARE FEET = 51 CHILDREN OUTDOORS: 3610.20 SQUARE FEET = 48 CHILDREN The center has obtained an approved fire clearance from Union City Fire Department on 3/31/2021. The fire clearance is approved with a capacity of 48 preschool aged children. Kidango - Decoto will have two approved classroom Room 1 & Room 2 for Preschool Aged children. Facility will also have 2 play yards available for preschoolers. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 4 toilets, and 5 sinks available for children use. The staff have a separate bathroom in between Room 19/20 which will also serve as an isolation bathroom. Isolation Room will be the Director's Office. Individual Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDANGO-DECOTO	FACILITY NUMBER: 013415231
	VISIT DATE: 04/07/2021

NARRATIVE

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All licensing required documents are posted. Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted. The center was found to be clean, safe, sanitary and in good repair. There were no deficiencies cited during this visit.

A license for 48 preschool aged children operating out of Rooms 1 & 2 (Kidango Rooms #40 & #19) will be issued today, effective 4/7/2021. Per Union City Fire Department no more than 24 children in either room at any given time.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021

LIC809 (FAS) - (06/04)

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