013422030-7-2-2021-52-CC-EWOS-C4JRWY-20210702132355

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422030
Report Date: 07/02/2021
Date Signed: 07/02/2021 01:24:04 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 CENTER		FACILITY NUMBER:	013422030
ADMINISTRATOR:	JOSEPH, STEPHANIE		FACILITY TYPE:	830
ADDRESS:	680 WEST TENNYSON RD		TELEPHONE:	(510) 782-6084
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94544
CAPACITY:	25	CENSUS: 4	DATE:	07/02/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Neelam Saini		TIME COMPLETED:	02:00 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	On July 2, 2021, at 8:00 AM., Licensing Program Analyst (LPA) Elimika Woods conducted an unannounced Annual Required Inspection and met with Director, Neelam Saini. LPA disclosed the purpose of the inspection and was granted entry into the facility. Present during this inspection were four (4) infant children, and three (3) additional staff members. The facility was toured for a Health and Safety Inspection. This program is the infant component of a combination center, which operates Monday through Friday, 7:00 AM to 6:00 PM CLASSROOMS: At 9:15 AM, LPA Woods began an inspection of the areas of the center used for the infants program, which includes one classroom in the middle of the building along with the playground. There are adequate play and learning materials available, heating/air conditioning, ventilation and lighting. The floors, furniture, and equipment are age appropriate and in good repair. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is in the office. All children are under supervision including visual supervision by staff members. At 9:30 AM, LPA tested one carbon monoxide detector and one smoke detector located in classroom area. Both devices were functional. The center is equipped with a working telephone, carbon monoxide detector, first aid kit, and a fully charged 3A40BC fire extinguishers. All solid waste storage containers have tight fitting covers on, and appear to be in good repair. The facility is operating within its license capacity. BATHROOMS AND TOILETING AREAS: There are separate bathrooms for staff and children. Toilets and faucets are in safe and sanitary operating condition. The children are able to reach the sinks and toilets. Supplies are available to the children. FOOD SERVICE AREAS: Meals are prepared and delivered to the center, and the center is serving whole milk. The menus are posted at least one week in advance, available for review and dated. See 809-C

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika Woods	TELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021

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 - EDEN YOUTH CENTER	FACILITY NUMBER: 013422030
	VISIT DATE: 07/02/2021

NARRATIVE

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OUTDOOR PLAY AREAS: There are no bodies of water, or free standing water accessible to children. There are age appropriate toys and materials for the children. There are play structures available to children in care. The playground surface and equipment appears to be safe and the play structure and equipment is age appropriate. The playground is fenced and all equipment and surfaces are free from hazards.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Two (2) children's files and four (4) staff files were reviewed around 1:00 PM. LPA reviewed the facility roster and obtained a copy. At least one opening/ closing staff member has a current CPR & First Aid Certificate. Mandated Reporter Training was discussed and certificates were reviewed. Director's CPR and First Aid certificate is current and expires on 4/24/23. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least one every 6 months and a review of the log shows the last drill was conducted 06/28/2021. Per director, there are no firearms stored on the premises. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: There's no IMS being provided and no medication kept on-site. The center is equipped with a fully stocked first aid kit which is available in the classroom.

California Law requires Family Child Cares/Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

Director is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Director was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

See 809-C

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika Woods	TELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: 07/02/2021

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. Per director, no IMS is being provided at this time. The director was reminded that when any changes to the IMS plan is made, an updated Plan for Providing 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.” Director was reminded to visit our website at www.ccld.ca.gov to get quarterly updates on new laws and regulations.

The director was provided information regarding effects of Lead Exposure and testing requirements (Assembly Bill 2370).

No deficiency cited during today’s visit. An exit interview was conducted with the director. A Notice of Site visit was posted at the time of inspection and must remain posted for 30 days.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika Woods	TELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2021

LIC809 (FAS) - (06/04)

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