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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405621
Report Date: 11/26/2019
Date Signed: 11/26/2019 02:31:35 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDZ-PLANET, INCFACILITY NUMBER:
073405621
ADMINISTRATOR:GRINSPHAN, IRINAFACILITY TYPE:
830
ADDRESS:2245 MORELLO AVE SUITE CTELEPHONE:
(925) 457-9411
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:70CENSUS: 36DATE:
11/26/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Emily ShoopTIME COMPLETED:
02:50 PM
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3-LPA'S , Hollie and Campos, met with Emily Shoop, for the purpose of a Random Health and Safety Inspection. A tour of the facility was conducted. There are no bodies of water or fire arms at the facility, per the Ms. Shoop. Children are being visually supervised during this visit. There are no infants being left unattended during this visit. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible during this visit. Furniture and equipment are age appropriate and appear to be in good condition, free from sharp, loose, pointed parts or small choking articles. The surface of the outdoor activity space is free of hazards. All storage containers for solid waste, (garbage bins) have tight fitting covers that are kept on and in good repair. There is cushioning material under moveable play structures. The licensee takes measures to keep the facility free of flies, other insects and rodents. The facility has age-appropriate furniture and equipment including but not limited to cribs, cots or mats; changing tables and feeding chairs. The licensee is aware that baby walkers, bouncers, exersaucers and jumpers are not allowed in licensed care. The facility has sufficient infant napping equipment that meets Title 22 Regulation 101439.1(a)-(f). The facility has indoor space for infants that are physically separate from space used by the preschool or school age components.

SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: KIDZ-PLANET, INC
FACILITY NUMBER: 073405621
VISIT DATE: 11/26/2019
NARRATIVE
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The child care center appears to be in good condition that ensures the safety and well-being of children, employees and visitors. The facility has a functioning carbon monoxide detector. Bottles, dishes and containers of food brought by the infants authorized representative are labeled with the infants name and current date. While in use, the infant changing tables are placed within arms reach of a sink. The facility is in compliance today with the staff-infant ratio of one teacher for every four infants in attendance.

The facility is aware that all person’s 18 years of age or older, must be fingerprint cleared or associated to the facility, PRIOR to being in the presence of children.

Licensee was reminded that anyone employed at the facility, must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed. Licensee was encouraged to frequently visit our website at WWW.CCLD.CA.GOV to download child care forms, licensing regulations and updates.

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.

Notice of site visit was posted at the time of the inspection and must remain posted for 30 days.

see next page for continued report

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: KIDZ-PLANET, INC
FACILITY NUMBER: 073405621
VISIT DATE: 11/26/2019
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THE LICENSEE WAS PROVIDED A COPY OF THEIR APPEAL RIGHTS (LIC 9058 12/15) AND THEIR SIGNATURE ON THIS FORM ACKNOWLEDGES RECEIPT OF THESE RIGHTS.LPA POSTED THE REQUIRED POSTINGS FOR PUBLIC VIEWING.

A sampling of staff and children's records was reviewed during this v isit.

The Licensee was made aware of Safe Sleep Regulation Concepts as it relates to Infants. During the visit, the Licensee was given a copy of the document containing the Sleep Regulation Concepts. LPA's discussed at length, the concepts of Bare is Best, Tight Fitting Sheet, Supervision of Infants and Back to sleep. The licensee was informed that upon the concepts becoming Regulations, the facility will be cited a deficiency in the future.

All Type A violations must be corrected by the due date. Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child’s file to be reviewed by licensing.

As a result of this visit, there are no deficiencies cited.

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3