013421406-8-30-2022-52-CC-MOTI-CHSNY4-20220830105208

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421406
Report Date: 08/30/2022
Date Signed: 08/30/2022 10:52:12 AM

Document Has Been Signed on 08/30/2022 10:52 AM - It Cannot Be Edited

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 - COYOTE HILLS		FACILITY NUMBER:	013421406
ADMINISTRATOR:	AVILES, THALIA		FACILITY TYPE:	850
ADDRESS:	36270 CHERRY ST		TELEPHONE:	(510) 240-5771
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	24	CENSUS: 11	DATE:	08/30/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Margarita Saucedo		TIME COMPLETED:	11:05 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	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 addition. As well as a facility name change from Kidango - Graham to Kidango - Coyote Hills. Facility is operating on Newark Unified School Districts Coyote Hill's Elementary School in two portables. A health and safety inspection was conducted inside and outside. Present during today's visit were 11 preschool aged children and 4 additional staff members. Facility days and hours of operation are Monday through Friday 7:00AM - 6:00PM. The facility measurements are as follows: INDOORS: 2450.10 SQUARE FEET = 70 CHILDREN OUTDOORS: 5005.25 SQUARE FEET = 66 CHILDREN The center has obtained an approved fire clearance from Newark Fire Department on 8/22/2022. The fire clearance is approved with a capacity of 40 preschool aged children. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 3 toilets, and 4 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) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022

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 - COYOTE HILLS	FACILITY NUMBER: 013421406
	VISIT DATE: 08/30/2022

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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 40 preschool aged children operating out of modular #131 and modular #132 will be issued effective today, 8/30/2022.

An exit interview was conducted with Magarita Saucedo.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022

LIC809 (FAS) - (06/04)

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