013423038-6-13-2022-52-CC-MOTI-CFCQ47-20220613114951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423038
Report Date: 06/13/2022
Date Signed: 06/13/2022 11:49:57 AM

Document Has Been Signed on 06/13/2022 11:49 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:	SAFARI KID UNION CITY		FACILITY NUMBER:	013423038
ADMINISTRATOR:	TARUNKUMAR, DEEPA		FACILITY TYPE:	850
ADDRESS:	32462 ALVARADO BLVD		TELEPHONE:	(510) 386-7777
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	79	CENSUS: 27	DATE:	06/13/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	08:17 AM
MET WITH:	Shy Mudakavi		TIME COMPLETED:	12:00 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	A Case Management Visit was conducted on this date 6/13/2022 by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Licensee, Shy Mudakavi. The center has applied to add a Toddler Option (18 months - 36 months) to their license as well as requesting a CAPACITY INCREASE from 79 to 127. The center is requesting for up to 48 toddlers in the toddler-option program. A health and safety inspection was conducted inside and outside. The center also has a Heritage school on-site. Heritage school arrives at 12pm While present Heritage school utilizes the upstairs classrooms which preschool children do not have access to. The preschool program consists of 4 rooms. 2 Preschool classrooms are located in the 32462 Alvarado Blvd building. The 2 Toddler-Option classrooms are located in the 32464 Alvarado Blvd building. Both toddler option classrooms are divided in half thus being able to each house 2 groups of 12 toddlers each to accommodate the entire 48 toddlers. Hours of operation are from 8am-6pm, Monday through Friday. The classrooms were measured and the measurements are as follows: INDOORS: 4402.01 square feet = 126 children OUTDOORS: 4467.11 square feet = 60 children Yard waiver to be posted. First aid supplies are available in the center. Facility has a functioning carbon monoxide detector. The preschool with a toddler-option program has 9 sinks and 10 toilets available. Each building has their own separate staff bathroom. Isolation room for sick children will be the office and staff bathroom. 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 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.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022

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: SAFARI KID UNION CITY	FACILITY NUMBER: 013423038
	VISIT DATE: 06/13/2022

NARRATIVE

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A review of staff records on 06/13/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The center has obtained an approved fire clearance from the Union City Fire Prevention on 5/26/2022.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There were no deficiencies cited during this visit.

A license for 126 preschoolers, which includes up to 48 toddlers in the toddler-option program will be licensed effective today 6/13/2022.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022

LIC809 (FAS) - (06/04)

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