013420560-10-22-2021-52-CC-MOTI-C82SYA-20211022141712

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420560
Report Date: 10/22/2021
Date Signed: 10/22/2021 02:17:41 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 - CORVALIS		FACILITY NUMBER:	013420560
ADMINISTRATOR:	CARDENAS, ANGELICA		FACILITY TYPE:	850
ADDRESS:	14790 CORVALIS ST.		TELEPHONE:	(510) 357-3200
CITY:	SAN LEANDRO	STATE: CA	ZIP CODE:	94579
CAPACITY:	24	CENSUS: 0	DATE:	10/22/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Margarita Saucedo & Yesenia Alvarez		TIME COMPLETED:	02:35 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	Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility announced to conduct a Case Management- Licensee Initiated inspection. LPA was met by Program Compliance Manager, Margarita Saucedo, and Program Compliance Assistant Manager, Yesenia Alvarez. This is a TITLE V center. The center has submitted an application for a ROOM CHANGE from classroom 14 to classroom 401 on San Lorenzo Unified School Districts Corvalis Elementary School Campus. A health and safety inspection was conducted inside and outside. No children were present during today's visit as the center has been closed since June 2021 due construction. Facility days and hours of operation are Monday through Friday 7:00AM - 6:00PM. The facility measurements are as follows: INDOORS: 945.62 SQUARE FEET = 27 Children OUTDOORS: 13100.73 SQUARE FEET = 175 Children The center has obtained an approved fire clearance from Alameda County Fire Department on 10/22/2021. The fire clearance is approved with a capacity of 24 preschool aged children. The preschool room is equipped with varied age appropriate materials and equipment. There are 2 toilets, and 3 sinks available for children use. The staff have a separate bathroom in the school hallway which will also serve as an isolation bathroom. Facility operates in two sessions which are AM and PM. This facility plans to provide Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021

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 - CORVALIS	FACILITY NUMBER: 013420560
	VISIT DATE: 10/22/2021

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 24 preschool aged children operating out of classroom #401 will be issued today, effective 10/22/2021.

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: 10/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021

LIC809 (FAS) - (06/04)

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