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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420562
Report Date: 02/04/2021
Date Signed: 02/04/2021 01:03:55 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 - DEL REYFACILITY NUMBER:
013420562
ADMINISTRATOR:NORA GOODALEFACILITY TYPE:
850
ADDRESS:1510 VIA SONYATELEPHONE:
(510) 901-1557
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY:24CENSUS: 0DATE:
02/04/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Margarita SaucedoTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility announced to conduct a Case Management 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 5 to classroom 201 on San Lorenzo Unified School District's Del Rey 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 March 2020 due to the COVID-19 pandemic shelter-in-place. Facility days and hours of operation are Monday through Friday 7:00AM - 6:00PM. The facility measurements are as follows:

INDOORS: 947.52 SQUARE FEET = 27 CHILDREN
OUTDOORS: 14054.56 SQUARE FEET = 188 children

The center has obtained an approved fire clearance from Alameda County Fire Department on 1/13/2021. 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 2 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. 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 NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2021
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 - DEL REY
FACILITY NUMBER: 013420562
VISIT DATE: 02/04/2021
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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 #201 will be issued today, effective 2/4/2021.

An exit interview was conducted.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2021
LIC809 (FAS) - (06/04)
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