013420913-9-26-2019-52-CC-BPLY-BGDPNM-20190926112811

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420913
Report Date: 09/26/2019
Date Signed: 09/26/2019 11:28:18 AM

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:	SAFARI KID - NEWPARK MALL		FACILITY NUMBER:	013420913
ADMINISTRATOR:	MANDAL, APARAJITA		FACILITY TYPE:	850
ADDRESS:	5700 NEWPARK MALL RD		TELEPHONE:	(510) 304-0567
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	50	CENSUS: 40	DATE:	09/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Sonal Jagad		TIME COMPLETED:	11:40 AM

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 09/26/19, Licensing Program Analyst (LPAs) Briana Plumboy and Brittany Newton met with Owner/Director Sonal Jagad for an unannounced random inspection. The center and playground were toured to conduct a Health and Safety inspection. There were 40 children present during the visit. Also present for the visit was 7 fingerprint clear teachers. The center operates Monday -Friday from 8:30am through 6pm. The center has 3 waivers posted and in place: for sign in and out, for the outdoor play area space, and for the use of two addresses to operate under one address. The center consists of 4 rooms, which are safe, clean and in good repair. There is adequate storage for children's belongings. The heating and lighting is adequate during today's inspection. There is drinking water readily available to children both indoors and outdoors during today's inspection. There are separate bathrooms for boys and girls. All toilets flush properly, and there is running water, soap, and paper towels available for children to wash and dry their hands during today's inspection. There is a separate bathroom for staff. There are no bodies of water, or free standing water, accessible to children at the center today. Per S.Jagad, there are no firearms on the premises of the child care center. The food preparation area is clean, free from hazards and adequately equipped. There is a menu posted, and there are no cleaning supplies stored with food. Per director, the families have an option to provide snacks/lunch for the children in care, and LPA observed there are additional snacks on site for children. There are ample mats and sheets available for children's use, and they are stored properly. The children's families provide the bedding and it is stored properly. The playground has safe and age appropriate equipment. All required documents are posted for public review. The center is in compliance with the sign in and out procedure. The center uses a electronic sign in/out and a waiver posted for the method. Disaster drills are being conducted once a month, and the log indicates the last fire drill was done was on 08/26/19. The center is equipped with a fully stocked first aid Kit, working telephone, carbon monoxide detector, pull down fire alarm and multiple fire extinguishers. A review of 5 children's files and 3 staff files was completed. All staff have been fingerprint cleared and associated to this center. All staff members have a current CPR/First Aid certificate. All staff have received the required provider immunization's as well as have received certificates in mandated reporter training. See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019

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: SAFARI KID - NEWPARK MALL	FACILITY NUMBER: 013420913
	VISIT DATE: 09/26/2019

NARRATIVE

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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
Per Director, there are no children in care at this time who require incidental medical services

California Law requires Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL Staff must be fingerprint cleared prior to being in the presence of children in care, or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

There are no deficiencies cited. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019

LIC809 (FAS) - (06/04)

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