013423131-3-3-2022-02-CC-MGUT-CC6NDE-20220303092214

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423131
Report Date: 03/03/2022
Date Signed: 03/03/2022 09:23:27 AM

Document Has Been Signed on 03/03/2022 09:23 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	SMALL SIZE BIG MIND		FACILITY NUMBER:	013423131
ADMINISTRATOR:	CHOP, MALYKA		FACILITY TYPE:	830
ADDRESS:	2450 PAN AM WAY		TELEPHONE:	(510) 531-8025
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	12	CENSUS: 0	DATE:	03/03/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Malyka Chop		TIME COMPLETED:	09:40 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	A Prelicensing Visit was conducted today by Licensing Program Analysts (LPAs), Melissa Guirit and Melissa Domantay. LPAs met with applicant, Malyka Chop. The applicant submitted an application for an infant license. A health and safety inspection was conducted inside and outside. The center has also applied for a a decrease in capacity for the preschool/toddler component. The infant program will operate in 1 classroom area in the portable, Monday to Friday from 7:00am-6:00pm. The measurements are as follows: INDOORS: 477.52 = 13 children OUTDOORS: 1,093.38 = 14 children A fire clearance, with a total capacity of 12 infants, ages birth to 24 months was received from Alameda City Fire Department on 01/11/22. Infant classroom is equipped with varied age appropriate materials and equipment. There will be no crib-aged infants. There are 3 bassinets available. The diaper changing areas are within arms reach of a sink. There are 5 sinks, 4 toilets, and 2 potty-training toilets available. The office will be used as an isolation area for ill children. There are two play yards that will serve as the infant outdoor areas. The yards are fenced in all around. There is sufficient cushioning in the infant outdoor play areas. Infant families will provide food for infants. Facility will utilize paper sign in/out. The facility has a fully charged 3A40BC fire extinguisher, working fire alarm and carbon monoxide detector, and first aid supplies. There is a working telephone at the center.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SMALL SIZE BIG MIND	FACILITY NUMBER: 013423131
	VISIT DATE: 03/03/2022

NARRATIVE

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Applicant is reminded that if facility plans to provide Incidental Medical Services a plan should be provided. – IMS. A Plan of Operation that includes IMS has been 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 will be considered a fully-qualified infant director. Malyka has completed 16 hours of health and safety training including pediatric CPR and First Aid and Lead Poisoning.

Mandated reporter, appeal rights, civil penalties, unusual incident reporting, fingerprint requirements, and COVID protocols were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and checking Provider Information Notices (PINs). 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.

A license for 12 infant children will be effective today 03/03/2022. An exit interview was conducted, and a copy of the report was provided to applicant/owner Malyka Chop.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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