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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422030
Report Date: 06/12/2019
Date Signed: 06/12/2019 04:29:56 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 - EDEN YOUTH CENTERFACILITY NUMBER:
013422030
ADMINISTRATOR:JOSEPH, STEPHANIEFACILITY TYPE:
830
ADDRESS:680 WEST TENNYSON RDTELEPHONE:
(510) 782-6084
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:25CENSUS: 24DATE:
06/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Stephanie JosephTIME COMPLETED:
04:40 PM
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On 6/12/19 at 11:10am, Licensing Program Analyst (LPA) Loretta Dyson arrived at the center for an unannounced random inspection. LPA met with the director, Stephanie Joseph. There were 24 infants and 8 additional staff also present. This program is the infant component of a combination center, which operates Monday thru Friday 7am-6pm.

At 11:30am LPA began an inspection of the areas of the center used for the infant program, which includes the two classrooms at the front end of the building and playgrounds. Both of the classrooms have a comfortable temperature and sufficient ventilation. The classroom floors and surfaces are safe, clean and in good repair. The furniture, equipment, toys and activities are age appropriate and in good condition. There is a sufficient amount storage for children's belongings. The changing table is within arms reach of a sink, and the toilets and sinks are in safe and sanitary operating condition. There were 3 cribs and cots available for children in care, and they were covered with sheets. All bottles and dishes are labeled. There is drinking water available for children both indoors and outdoors. All required forms are posted and visible for public review, including a menu which is dated at least a week in advance. The center is serving whole milk. All of the containers used for garbage have covers that fit and are in good condition. LPA did not observe any bodies of water, hazardous items or toxins accessible to children today. Per the director, there are no firearms stored on the premises. The playground is fully fenced and free from defects of dangerous conditions. The playground surface and equipment appears to be safe and free from hazards, and the play structure and equipment is age appropriate. There is sufficient cushioning underneath the play structure, to absorb a fall. The center is in compliance with the sign in/out procedure. The classrooms have fully charged 3A40BC fire extinguishers, working carbon monoxide detectors, smoke alarms, telephones and first aid supplies.

At 12:15pm, LPA began a review of children's and 8 staff files. All staff have proof of completion of the required mandated reporter training. At least one opening/closing staff member has current CPR/first certificates. The center roster was reviewed, and a copy was obtained. The facility is in ratio, and in compliance with the capacity of the license, today. continued on 809C
SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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 - EDEN YOUTH CENTER
FACILITY NUMBER: 013422030
VISIT DATE: 06/12/2019
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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, which includes IMS, has already been submitted to the Department and reviewed. 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.
The director stated that there are no children enrolled at this time, who require medication while in care.

Licensee is reminded that ALL Staff must be fingerprint cleared and associated to this facility prior to being in the presence of children in care, or an immediate civil penalty can be assessed from $100 to $3000 per person, per incident. LPA reviewed the individuals associated to the license, and the director confirmed that everyone who is required to have a criminal record clearance is associated.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates. LPA provided the director with a copy of the Safe Sleep in Child Care pamphlet.

There are no deficiencies being cited today. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted with Teacher Lashunda.
SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
LIC809 (FAS) - (06/04)
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