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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420972
Report Date: 12/14/2020
Date Signed: 12/14/2020 03:18:03 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:SAFARI KID LEARNING CENTERFACILITY NUMBER:
013420972
ADMINISTRATOR:PARASHAR, APARNAFACILITY TYPE:
850
ADDRESS:34899 NEWARK BLVDTELEPHONE:
(510) 739-1511
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY:94CENSUS: 4DATE:
12/14/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Aparna ParasharTIME COMPLETED:
02:09 PM
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***Due to COVID-19 pandemic, the following visit was done via televisit***

On 12/14/2020 at 1:00pm, Licensing Program Analyst (LPA) Jonathan Williams met with facility Director, Aparna Parashar, for an announced case management inspection. This inspection was conducted via televisit using the "Facetime" video conferencing application. Present for this visit was the Director, one teacher, one teacher aide, and four children in care. The backyard was toured at 1:05pm.

The Director has installed a play structure in the outdoor play area. The structure was installed by the company Playcraft Systems. The structure consists of a slide, 2-section "tri-ring hub", "revolution hourglass panel", "tri-step jungle traverse", "crawl tube w/ view ports", "revolution bell panel", four "tri pads", and "split lunar climber". The structure was observed at 1:15pm to have poured rubber underneath it to cushion falls and LPA observed the structure to be firmly anchored to the ground throughout the inspection. LPA observed the structure to match the sketch provided by the Director.

LPA reminded the Director that all further additions or changes to the facility, including outdoor play structures, must be approved by the Department before use by children. LPA reminded the Director that all play structures must be age-appropriate and kept in working order at all times.

There are no deficiencies cited today. This report shall remain on file for 3 years. Appeal Rights provided. Exit interview conducted at 1:55pm.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan WilliamsTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2020
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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