013423100-9-18-2020-02-CC-LDYN-BTKTVE-20200918150349

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423100
Report Date: 09/18/2020
Date Signed: 09/18/2020 03:04:14 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	SWINGS AND WINGS-LITTLE BUTTERFLIES		FACILITY NUMBER:	013423100
ADMINISTRATOR:	KAZI-KOYA, SADIYA		FACILITY TYPE:	850
ADDRESS:	2307 BLANDING AVENUE, SUITE E		TELEPHONE:	(510) 747-9740
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	30	CENSUS: 0	DATE:	09/18/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Sadiya Kazi-Koya		TIME COMPLETED:	03:15 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 9/18/20 at 12pm, Licensing Program Analyst (LPA) Loretta Dyson arrived at the facility for an announced pre-licensing inspection. LPA met with the applicant, Sadiya Kazi-Koya. There was no one else present. The applicant submitted an application for a new preschool child care center license. The facility will operate between the hours of 8:30am-1:00pm, Monday-Friday. The program will operate in 6 rooms: Creative Room, Swing Room, Classroom, Quiet Room, Snack Room and Jumping Room. LPA conducted a tour of the facility with the applicant, to conduct a health and safety inspection, and the measurements are as follows: INDOORS: 2,220.09 square feet = 37 children OUTDOORS: No Outdoor Space The total indoor square footage was divided by 60 to meet requirements for a drop in child care facility, with each child in care no more than 15 hours per week. A fire clearance, dated 7/9/20, was received from the Alameda City Fire Department with an approved capacity of 30. LPA observed that the heating, lighting and ventilation are sufficient to provide for the safety and comfort of children and staff. The floors and surfaces of the rooms are clean and free of toxic substances. There is sufficient storage for children's belongings. The furniture, equipment, toys and activities are age appropriate and in good condition, and there is an ample supply available. There is a water faucet with cups to provide water for children throughout the day. During COVID-19 they will use individual water bottles for children to fill up. The facility will provide snacks and a sample menu that is dated at least a week in advance is posted. There is one toilet and 2 sinks available for children, and they are in sanitary and operational condition today. There is a separate bathroom for staff. The office and staff bathroom will be used for the isolation of sick children. The facility has working combination smoke/carbon monoxide detectors, fully charged 3A40BC fire extinguishers, ample first aid supplies and a working telephone. LPA did not observe any bodies of water, hazardous items, toxins or medication accessible to children.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SWINGS AND WINGS-LITTLE BUTTERFLIES	FACILITY NUMBER: 013423100
	VISIT DATE: 09/18/2020

NARRATIVE

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LPA reviewed documents and verified that Eileen Wilson is qualified as a fully qualified preschool director.

The Swing Room and Jumping Room will be used for gross motor play, and both rooms have wall to wall cushioning that is sufficient to absorb a fall. The Swing Room is equipped with swings and climbing structures, which are secure and in good condition. LPA advised the applicant to adhere to the manufacturer's recommendations and ensure that visual supervision is provided at all times.

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

This facility will be licensed as a drop in preschool, with the amount of time that each child will be in care limited to 15 hours per week, once the following is complete:

- criminal record clearance for the applicant is received
- proof of enrollment in the lead poisoning prevention training, a new requirement as of 7/1/20, for the director is received

The license will be a provisional license until proof of completion of the training is received.

This report will remain on file for 3 years. An exit interview was completed with the applicant.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020

LIC809 (FAS) - (06/04)

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