015700531-2-4-2021-52-CC-MOTI-BXWUBZ-20210204142710

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700531
Report Date: 02/04/2021
Date Signed: 02/04/2021 02:27:34 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KIDANGO HILLSIDE		FACILITY NUMBER:	015700531
ADMINISTRATOR:	NASIA, DA		FACILITY TYPE:	850
ADDRESS:	15980 MARCELLA STREET		TELEPHONE:	(510) 516-7376
CITY:	SAN LEANDRO	STATE: CA	ZIP CODE:	94587
CAPACITY:	24	CENSUS: 0	DATE:	02/04/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:34 PM
MET WITH:	Margarita Saucedo		TIME COMPLETED:	02:45 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	Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility announced to conduct a Pre-Licensing inspection. LPA was met by Program Compliance Manager/Applicant, Margarita Saucedo, and Program Compliance Assistant Manager, Yesenia Alvarez. The applicant submitted an application for a NEW PRESCHOOL facility. The facility is comprised of 1 classroom operating out of Room #101 on San Lorenzo Unified School District's Hillside Elementary School campus. This facility is a TITLE V facility. The program will operate from 7:00AM - 6:00PM, Monday through Friday. A health and safety inspection was conducted inside and outside and the measurements are as follows: INDOORS: 961.91 square feet = 27 children OUTDOORS: 1787.02 square feet = 24 children The center has obtained an approved fire inspection clearance from the Alameda County Fire Department on 1/20/2021. The preschool room is equipped with varied age appropriate materials and equipment. There are 2 toilets and 3 sinks available for children. The office and the staff toilet, will serve as isolation areas for sick children. There is a kitchen prep area with a microwave, refrigerator and sink. Cots were observed. Individual Medical Services (IMS) policy was discussed. When any changes to the IMS plan of operation is made, an updated Plan of Operation 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. The play yard is fenced in all around. The areas around and under high climbing equipment are cushioned with material that absorbs a fall. Shade covering provide sufficient shade in the play yard. The center has a jug and cups will be taken to the play yard for outdoor activities. The center will provide breakfast, lunch and snacks with menu posted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2021

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: KIDANGO HILLSIDE	FACILITY NUMBER: 015700531
	VISIT DATE: 02/04/2021

NARRATIVE

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No cleaning agents were found stored with food. First aid supplies are available in the center. There is a working telephone on site. Carbon monoxide detector is available. The sign in/out sheets provide for a full signature and records the date and time.

Danasia Neal is a fully-qualified preschool director and has completed 16 hours of health and safety training including pediatric CPR and First Aid which is valid thru 2/23/2021.

Zero Tolerance policies were explained. The center was found to be clean, safe, sanitary, and in good repair.

A license for 24 preschool children will be issued effective today 2/4/2021.

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: 02/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2021

LIC809 (FAS) - (06/04)

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