013421406-9-10-2021-52-CC-MOTI-C6QSPY-20210910140356

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421406
Report Date: 09/10/2021
Date Signed: 09/10/2021 02:04:02 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 - GRAHAM		FACILITY NUMBER:	013421406
ADMINISTRATOR:	DIAZ, OFELIA		FACILITY TYPE:	850
ADDRESS:	36270 CHERRY ST		TELEPHONE:	(510) 240-5771
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	40	CENSUS: 10	DATE:	09/10/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Margarita Saucedo & Ysenia Alvarez		TIME COMPLETED:	02:23 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 unannounced 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 AND YARD REMOVAL. Facility is operating on Newark Unified School District's Coyote Hill's Elementary School. A health and safety inspection was conducted inside and outside. Present during today's visit were 10 preschool aged children and 3 staff members. Facility days and hours of operation are Monday through Friday 7:00AM - 6:00PM. The facility measurements are as follows: INDOORS: 1708.60 SQUARE FEET = 49 CHILDREN OUTDOORS: 2289.25 SQUARE FEET = 31 CHILDREN The center has obtained an approved fire clearance from Newark Fire Department on 8/4/2021. 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 elementary school hallway which will also serve as an isolation bathroom. 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 ADA, available at http://www.ada.gov/childqanda.htm

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2021

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 - GRAHAM	FACILITY NUMBER: 013421406
	VISIT DATE: 09/10/2021

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 modular #131 will be issued effective today, 9/10/2021.

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: 09/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2021

LIC809 (FAS) - (06/04)

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