<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405621
Report Date: 10/05/2020
Date Signed: 02/25/2021 12:27:34 AM

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: 10DATE:
10/05/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Irina GrinshpanTIME COMPLETED:
11:30 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
On 10/6/20 at 11am, Licensing Program Analyst (LPA) Loretta Dyson conducted a case management inspection at this facility thru the FaceTime application due to COVID-19. An application was received to add a toddler option to the infant license. LPA met with Irina Grinshpan, the facility Executive Director.

LPA conducted a health and safety inspection of the classroom to be used for the care of toddlers. Ms. Grinshpan pointed the camera around the room and focused in on things as requested by LPA. LPA observed that the room is divided into sections, and Ms. Grinshpan confirmed her understanding that there cannot be more than 12 toddlers in one space. The room is set up with age appropriate furniture, activities and equipment and they appeared to be clean and in good condition. There was sufficient lighting and the floors and surfaces appeared to be clean and free of hazards. There is a changing table within arms reach of the sink. LPA did not observe any hazardous items, bodies of water or medication accessible to children. There are two sinks available for children. The facility has a fully charged 2A10BC fire extinguisher, carbon monoxide detector, pull down fire alarm, centralized smoke detection system, and first aid supplies. The outdoor play space was fully fenced and free of hazardous conditions, and there are canopies to provide shade. The toys and activities were age appropriate and there was an ample supply. There is sufficient cushioning underneath the play structures to absorb a fall.

Ms. Grinshpan was advised that she will need to wait for approval of the unique waiver, prior to implementing the requested changes. This report will remain on file for 3 years. An electronic signature from Ms. Grinshpan will not be completed, but the report will be emailed and the read receipt will serve as confirmation of the report.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2020
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 1