013416835-4-13-2023-52-CC-AWRT-CQUVKR-20230413163047

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013416835
Report Date: 04/13/2023
Date Signed: 04/13/2023 04:30:53 PM

Document Has Been Signed on 04/13/2023 04:30 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KIDANGO - CARLSON CENTER		FACILITY NUMBER:	013416835
ADMINISTRATOR:	AL BAKER, AALYA		FACILITY TYPE:	850
ADDRESS:	1301 MOWRY AVENUE		TELEPHONE:	(510) 608-4841
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	32	CENSUS: 15	DATE:	04/13/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Michael Henry		TIME COMPLETED:	04:40 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	On April 13th, 2023 at approximately 1:45pm, Licensing Program Analyst (LPA) April Wright for an unannounced Required-1 Year inspection, and met with Center director Michael Henry. Present today were fifteen (15) children and four(4) 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, 7:30am to 5:30pm. 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 is the "All by myself area" in classroom which is area that is away from other children in care. 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. There a one (1) changing station in the classroom that is in good condition. 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 snack for children in care. There are monthly menus posted at the facility inside and outside 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 a slide that has cushioning to absorb falls that is anchored for stability. There's also one (1) 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. See LIC809-C for continuance

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDANGO - CARLSON CENTER	FACILITY NUMBER: 013416835
	VISIT DATE: 04/13/2023

NARRATIVE

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RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Seven (7) children's files and five (4) staff files were reviewed, along with director's file. 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. Mandated Reporter Training and CPR and First Aid certificates were reviewed and are up to date. The center is in compliance with the sign in and out procedure via . Disaster drills are being conducted at least once every 6 months and the last one conducted was on 4/13/2023. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: IMS IS PROVIDED AT THIS FACILITY. Medications/forms for two (2) children were reviewed. Incidental Medical Services (IMS) policy was discussed. 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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process .

Licensee [or facility representative] 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.

There are no deficiencies cited today. A notice of site visit was given and must remain. posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Michael Henry

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

LIC809 (FAS) - (06/04)

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