013422495-3-5-2020-52-CC-MOTI-BMEVJC-20200305152831

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422495
Report Date: 03/05/2020
Date Signed: 03/05/2020 03:28:37 PM

COMPREHENSIVE INSPECTION

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 PAUL MILLER		FACILITY NUMBER:	013422495
ADMINISTRATOR:	JENNIFER RALPH		FACILITY TYPE:	850
ADDRESS:	4700 CALAVERAS AVENUE		TELEPHONE:	(510) 516-7026
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	64	CENSUS: 45	DATE:	03/05/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Nancy Ramirez		TIME COMPLETED:	03:48 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 on 03/05/2020 to conduct a Required - 1 Year inspection. LPA met with Head Teacher Nancy Ramirez. Present during today's visit are 7 staff members and 45 napping preschool aged children. The center currently operates on both a full day and half day program from 7:00AM to 6:00PM Monday through Friday. LPA toured the facility and play yard for a health and safety inspection at 1:25PM. The preschool utilizes 3 classrooms. A review of staff records on 03/05/2020 at 2:00PM indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. (7) Personnel files were reviewed. The teacher/child ratio was being met. (5) Children's files were reviewed. The classrooms and play yard are age appropriate and in good repair. Bathrooms are clean and in working order. The staff have a separate bathroom located within the facility. The sign in and out logs were reviewed and accurate. All posting requirements are being met. Outdoor play area was free of hazards and provided a shaded area for the children and access to drinking water. There is a working telephone. Working carbon monoxide detector, smoke detector and fully charged 3A40BC fire extinguisher were observed at the facility. Opening and closing staff have current CPR and first aid training. LPA observed there are tight fitting lids on trash cans located inside the center. The center documents and conducts fire/disaster drills with the last one documented in February 2020. Head Teacher is reminded that ALL assistants, volunteers, frequent visitors 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. See 809-C for continuation of report....

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

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 PAUL MILLER	FACILITY NUMBER: 013422495
	VISIT DATE: 03/05/2020

NARRATIVE

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Head Teacher is reminded that unusual Incidents must be reported within 24 hours by phone. Written report is to follow within 7 days utilizing form LIC624. LPA informed the Head Teacher that all forms can be downloaded at www.ccld.ca.gov and encouraged the Head Teacher to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The Head Teacher was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Individual Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. Facility is following IMS plan on file. 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.

LPA is requesting a current copy of LIC500 (Personnel Roster) and Children's Roster be emailed to LPA no later than 03/19/2020.

An exit interview was conducted with the Head Teacher. No deficiencies are being cited on today's date. The Head Teacher was provided a copy of their appeal rights and the signature on this form acknowledges receipt of these rights. A Notice of Site visit was posted at the time of inspection and must remain posted for 30 days.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

LIC809 (FAS) - (06/04)

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