015700517-8-30-2021-52-CC-MPRE-C6DRVZ-20210830132221

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700517
Report Date: 08/30/2021
Date Signed: 08/30/2021 01:22:29 PM

COMPREHENSIVE INSPECTION

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:	BUILDING KIDZ OF HAYWARD		FACILITY NUMBER:	015700517
ADMINISTRATOR:	ALEXANDER, WILLETA		FACILITY TYPE:	850
ADDRESS:	24748 HESPERIAN BLVD.		TELEPHONE:	(510) 963-5127
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94545
CAPACITY:	60	CENSUS: 31	DATE:	08/30/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Sundari Gansean and Jolly Walia		TIME COMPLETED:	01:15 PM

NARRATIVE

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On 8/30/2021 at 9:50am Licensing Program Analyst (LPA) Morgan Pringle met with Director Sundari Gansean and Owner Jolly Walia for an Unannounced Annual Inspection. Six (6) classrooms were toured for a health and safety inspection. Only four (4) classrooms are currently being used and classroom six (6) is used as a performing arts room. Director states room three (3) will be opening 9/1/2021. Thirty-one (31) preschool/toddler age children, and five (5) fingerprint cleared staff were present during the inspection. The facility operates from 8:00am – 5:00pm.

The facility has age appropriate materials in all classrooms that are observed to be clean and in good condition. The outdoor space has ample shade for the children and has proper materials for the children. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. All sinks and toilets were observed to be clean and in proper working order. The food preparation areas were observed to be clean and free from hazards. All knives and cleaning products in the food prep areas were made inaccessible to children in care. LPA did not observe any harmful or unattended bodies of water in or around the facility.

The facility is operating within its licensed capacity and is in ratio. All proper postings including the menu were made visible to parents and visitors in the entry way of the facility. The fire and disaster drill log was obtained and the last drill was logged 8/4/2021. A physical census of the children and staff was taken and cross referenced with the sign-in and out log.

LPA obtained a sample of the children’s files and the staff files. All teachers’ files were complete, and children’s files were observed to not be complete.

The following Deficiencies were observed during today’s inspection

· At 11:30am LPA C1, C2, C3, C4, C5 and C6 were missing health reports from their physicians.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: BUILDING KIDZ OF HAYWARD	FACILITY NUMBER: 015700517
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/30/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/31/2021 Section Cited	1 2 3 4 5 6 7	101220(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. ...(1) Such assessment shall be performed by, or under the supervision of, a licensed physician...This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Through observation of the children's records it was found that six (6) children in care were missing health reports from their physicians. This poses a potential risk to the health and sefety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021

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: BUILDING KIDZ OF HAYWARD	FACILITY NUMBER: 015700517
	VISIT DATE: 08/30/2021

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Director was reminded that ALL staff that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3,000 per person, per incident. Director was reminded of the responsibility as a mandated reporter.

Incidental Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. Facility is following IMS plan on file. When any changes to the IMS plan is made, an updated Plan for Providing 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.

All fire/disaster drills must be conducted every six (6) months and documented. The Director was reminded that any structural changes to the facility or additions to the childcare facility must be reported to Community Care Licensing.

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

This report was read and given to the Director for a signature. There is (1) deficiency being cited today. This report shall remain on file for three (3) years. Appeal Rights were provided and exit interview conducted. A Notice of Site visit was given and must be posted for 30 days.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021

LIC809 (FAS) - (06/04)

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