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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416835
Report Date: 06/29/2022
Date Signed: 06/29/2022 04:50:23 PM


Document Has Been Signed on 06/29/2022 04:50 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:KIDANGO - CARLSON CENTERFACILITY NUMBER:
013416835
ADMINISTRATOR:AL BAKER, AALYAFACILITY TYPE:
850
ADDRESS:1301 MOWRY AVENUETELEPHONE:
(510) 608-4841
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:32CENSUS: 16DATE:
06/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:LaShunda De Los ReyesTIME COMPLETED:
05:00 PM
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On , June 299th, 2022 at 2:00pm, Licensing Program Analyst (LPA) April Wright arrived for an Unannounced Required-1 Year inspection, and met with Assistant Director Santos Oliva . Director LaShunda De Los Reyes (Washington Hospital) arrived at 2:10pm to assist with the inspection due to language barrier. There were 15 children and 3 fingerprint cleared staff members present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 7:00am to 6:00pm.

CLASSROOMS: Center has one classroom (Room 16) and it was inspected. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation, and lighting. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children director's office. The center has smoke detectors, working telephone, and one (1) fully charged 2A10BC fire extinguisher. The center is equipped with 1 fully stocked first aid kit and backpack that is available in the classroom.

BATHROOMS AND TOILETING AREAS: The staff's bathroom are separate from the children's bathrooms. All sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. Supplies are available to the children in care.

FOOD SERVICE: This facility provides breakfast, lunch and supper for children in care. There are monthly menus posted at the facility outside and in the classroom.. All storage containers for solid waste have tight fitting covers that are in good repair.

OUTDOOR PLAY AREAS: There's a play structure with with a 1 slides that has cushioning to absorb falls that is anchored for stability. There's also 3 canopy areas with artificial grass and seating for play and resting. There's also building overhang that provides shade to children while at play. Facility also age appropriate toys that are in good condition.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Ten (10) children's files and nine (3) staff files were reviewed. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. All staff have Mandated Reporter Training and CPR/First Aid certificates. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted monthly and the last one conducted was on 6/28/2022. All required documents are posted in a public accessible area.

Continued on LIC 809-C

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2022
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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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 - CARLSON CENTER
FACILITY NUMBER: 013416835
VISIT DATE: 06/29/2022
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Facility representative De Los Reyes was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. Facility does provide IMS and has provided Plan of Operations for each child, 3 children have plans in child's file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the Safe sleep regulations with licensee and discussed Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.



There are no deficiencies cited today. A notice of site visit was emailed to Facility Representative Claudia Lopez (Enrollment Specialist) and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Director LaShunda De Los Reyes via telephone.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022
LIC809 (FAS) - (06/04)
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