<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423038
Report Date: 12/11/2019
Date Signed: 12/11/2019 03:09:48 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:SAFARI KID UNION CITYFACILITY NUMBER:
013423038
ADMINISTRATOR:TARUNKUMAR, DEEPAFACILITY TYPE:
850
ADDRESS:32462 ALVARADO BLVDTELEPHONE:
(510) 386-7777
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:79CENSUS: 23DATE:
12/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Deepa TarunkumarTIME COMPLETED:
03:30 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 12/11/19, LPA Briana Plumboy met with Director Deepa Tarunkumar for an unannounced random inspection. The center and playground were toured to conduct a Health and Safety inspection. There were 23 preschool age children present during the visit. Also present for the visit was 5 fingerprint clear and associated staff A.Akhter, S.Kodiyan, S.Gupta, M.Bahram, and G.Suarez Prado. The center currently operates from 8:00am until 6:00pm.
The center consists of two room. The center currently possesses two waivers. One waiver is for the electronic sign in/out system utilized by the center, and the second waiver is for the facility's playground and the amount of children allocated on the playground at one time. There are cubbies for children's belongings. There is adequate furniture, toys and activities, which are in good condition today. The heating and lighting is adequate. There is drinking water and cups readily available to children during today's inspection. There are combined bathrooms for boys and girls. All toilets flush properly, and there is running water, soap, and hand dryers available for children to wash and dry their hands. There is a separate bathroom for staff which is located off the left of the main entrance to to center. There are no bodies of water, or free standing water, accessible to children. Per Director, there are no firearms on the premises of the child care center. The food preparation area is clean. There is a full kitchen located inside classroom #2, and there is a barricade to prevent access from children in care. The am/pm snack and lunches are brought from home. The center has an outside vendor who delivers food daily, and families are able to purchase food for their children. There is a menu posted, and there are no cleaning supplies stored with food during today's inspection. The center has emergency snacks available for children in care. There are ample mats and sheets available for children's use. The playground is fenced and has cushioned material and cement as a surface. There are anchored play structures present during today's inspection. All required documents are posted for public review. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least once every 6 months, and the log indicates the See 809-C for continuance
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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: SAFARI KID UNION CITY
FACILITY NUMBER: 013423038
VISIT DATE: 12/11/2019
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
26
27
28
29
30
31
32
last earthquake drill was conducted on 10/04/19, and the last fire drill was conducted on 07/23/19. The center is equipped with a fully stocked first aid Kit, working telephone, (2) carbon monoxide detectors, smoke detectors, pull down fire alarm and fire extinguishers. LPA Plumboy obtained a copy of the roster. Center Director provided LPA Plumboy with a copy of Lic.500 which is the facility (Personnel Report). A review of 3 staff files was completed. The Director is aware at all times when children are in care a staff must be present who is CPR/First Aid certified.

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 the ADA, available at: http://www.ada.gov/childqanda.htm
Per Director at this time, there are no children in care whom require IMS

California Law requires Child Care Centers 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 was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL Staff must be fingerprint cleared 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. There are no deficiencies cited during today's inspection. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2