013421339-8-9-2019-52-CC-MMEA-BEVUKN-20190809153924

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421339
Report Date: 08/09/2019
Date Signed: 08/09/2019 03:39:30 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 - MISSION		FACILITY NUMBER:	013421339
ADMINISTRATOR:	SADANADAM, GEETHAPRIYA		FACILITY TYPE:	850
ADDRESS:	43468 ELLSWORTH ST		TELEPHONE:	(510) 943-5942
CITY:	FREMONT	STATE: CA	ZIP CODE:	94539
CAPACITY:	88	CENSUS: 23	DATE:	08/09/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Geethapriya Sadanadam		TIME COMPLETED:	03:50 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	A Case Management Visit was conducted on this date 8/9/19 by Licensing Program Analyst (LPA), Mayla Mendoza. LPA met with center director, Geethapriya Sadanadam. The center has applied to add a toddler-option (18 months-36 months) to their license with no increase in the number of children they are currently licensed for. The center is requesting for up to 30 toddlers in the toddler-option program. A health and safety inspection was conducted inside and outside. The center also has a Heritage school on-site. Heritage school arrives at 3pm. The preschool program consists of 5 rooms (Tundra, Taiga, Savannah, Prairie and Rainforest). When Heritage school is present, the Heritage school will utilize Tundra, Taiga and Prairie rooms. In addition, when Heritage school is present, the preschool with a toddler component capacity will lower to 45 children between the Savannah (toddlers) and Rainforest rooms only. The Savannah (toddler-option) room is divided into 2 sides to accommodate the request for the toddler-option program. Hours of operation are from 7:30am-6:30pm, Monday through Friday. The classrooms were measured and the measurements are as follows: INDOORS: 3097.994 square feet = 88 children OUTDOORS: 4041.6 square feet = 54 children First aid supplies are available in the center. Facility has a functioning carbon monoxide detector. The preschool with a toddler-option program has 8 sinks and 6 toilets available. There is also a separate staff bathroom. Heritage school has their own bathroom located in their separate building adjacent to the program. Isolation room for sick children will be the office and staff bathroom. 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. A 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.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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 - MISSION	FACILITY NUMBER: 013421339
	VISIT DATE: 08/09/2019

NARRATIVE

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A review of staff records on 8/9/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The center has obtained an approved fire clearance from the Fremont Fire Department.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There were no deficiencies cited during this visit.

A license for 88 preschoolers, which includes up to 21 toddlers in the toddler-option program will be licensed effective today 8/9/19.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

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