013423122-8-16-2021-02-CC-MDOY-C5XNUJ-20210816104625

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423122
Report Date: 08/16/2021
Date Signed: 08/16/2021 10:47:15 AM

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:	SMALL SIZE BIG MIND INC.		FACILITY NUMBER:	013423122
ADMINISTRATOR:	CHOP, MALYKA		FACILITY TYPE:	830
ADDRESS:	2001 SANTA CLARA AVENUE		TELEPHONE:	(510) 521-8025
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	11	CENSUS:	DATE:	08/16/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:38 AM
MET WITH:	Malyka Chop		TIME COMPLETED:	11:17 AM

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 8/16/21 at 9:37am, Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit arrived at the facility for an announced prelicensing inspection. LPAs met with applicant Malyka Chop. The applicant submitted an application for an infant license at this facility. The facility will operate Monday-Friday 7:00am-6:00pm in 1 classroom and gymnasium that will be used by infants as ON LIMIT AREAS. A waiver is needed to ensure that there will be different schedules between the perschool and infant component. The measurements are as follows: INDOORS: 394.04 square feet= 11 children OUTDOORS: 3,495 square feet= 46 children A fire clearance, with a capacity of 11 infants was received from the Alameda City Fire Department. LPAs observed that infant classroom have sufficient lighting, heating and ventilation for the safety and comfort of infants and staff. The floors and surfaces were clean and in good condition. LPAs observed an ample supply of age appropriate activities, equipment, and furniture that is in good condition. There is 1 sink that is arms length of the changing table. The secondary office will be used for isolation of sick infants. The facility is equipped with 3A40BC fire extinguisher, centralized smoke and carbon monoxide detectors, telephone, and first aid supplies. LPAs did not observe any hazardous items, toxins, bodies of water or medication accessible to children today.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SMALL SIZE BIG MIND INC.	FACILITY NUMBER: 013423122
	VISIT DATE: 08/16/2021

NARRATIVE

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The COVID-19 Assessment has been completed.

If This facility plans to provide Individual Medical Services – IMS. 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.

Malyka Chop is a fully-qualified preschool/infant director and has completed 16 hours of health, and safety training, lead poisoning prevention training, and pediatric CPR and First Aid. 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. Zero Tolerance policies were explained. The center was found to be clean, safe, sanitary, and in good repair.

A license for 11 infants is pending until waiver for gymnasium is received . This report will remain on file for 3 years. An exit interview was conducted, and a copy of the report and appeal rights were provided to applicant.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

LIC809 (FAS) - (06/04)

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