015700535-4-28-2021-52-CC-MOTI-C2HVH7-20210428162641

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700535
Report Date: 04/28/2021
Date Signed: 04/28/2021 04:26:47 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 PEIXOTO		FACILITY NUMBER:	015700535
ADMINISTRATOR:	FAGUNDES, VIRGINIA		FACILITY TYPE:	830
ADDRESS:	29150 RUUS ROAD		TELEPHONE:	(510) 516-7378
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94544
CAPACITY:	100	CENSUS: 0	DATE:	04/28/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:19 PM
MET WITH:	Margarita Saucedo & Ysenia Alvarez		TIME COMPLETED:	04:45 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	A Prelicensing Visit was conducted today by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Program Compliance Manager/Applicant, Margarita Saucedo, and Program Compliance Assistant Manager, Yesenia Alvarez. The applicant has submitted an application for an INFANT license. THIS IS A TITLE V FACILITY. A health and safety inspection was conducted inside and outside. The infant program will operate in 7 classrooms. Also on site is the facility's preschool component with a capacity of 67 preschoolers operating out of 3 classrooms. Operating Monday to Friday from 7:00AM - 6:00PM. The measurements are as follows: INDOORS: 5424.90 square feet = 155 children OUTDOORS: 12887.12 square feet = 172 children Classrooms are equipped with varied age appropriate materials and equipment. Infant classrooms 7, 8, and 11 each have space for 4 crib aged children for a total of 12 crib aged children for the infant component. This component also utilizes classrooms Toddler 1, 2, 3, and 13. The diaper changing counters are within arms reach of a sink. There are 16 sinks and 9 toilets available for children. The office and staff bathroom will serve as isolation area for ill children. There is a total of 6 play yards for the infant aged children to utilize. The yards are fenced in all around. Yards with high climbing equipment are cushioned with poured rubber and/or artificial turf. Canopies and/or trees provide sufficient shade in all play yards. Lunch and snacks are provided to the infants. There are food preparation areas in each classroom. Cabinets with cleaners are locked and/or inaccessible to prevent access to children. The sign in/out sheet allows for parents' full legal signature and records the date and time of day. This facility plans to provide Individual Medical Services – IMS. When any changes to IMS is made a new plan 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

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

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 PEIXOTO	FACILITY NUMBER: 015700535
	VISIT DATE: 04/28/2021

NARRATIVE

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Virginia Fagundes is a fully qualified infant director and has completed 16 hours of health and safety training including pediatric CPR and First Aid. There is a working telephone on site. The center has obtained an approved fire safety inspection from the Hayward Fire Department on 4/16/2021 for 100 infants.

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 applicant 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 is found to be clean, safe, sanitary, and in good repair. A license for 100 infants operating out of classrooms (1, 2, 3, 7, 8, 11, and 13) will be issued effective today 4/28/2021.

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: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

LIC809 (FAS) - (06/04)

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