073406699-12-7-2021-52-CC-MPRE-C9GVME-20211207153325

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073406699
Report Date: 12/07/2021
Date Signed: 12/07/2021 03:33:37 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:	SAFARI KID - LITTLE HEARTS		FACILITY NUMBER:	073406699
ADMINISTRATOR:	RINKU THAKUR		FACILITY TYPE:	850
ADDRESS:	500 BOLLINGER CANYON WAY #A10		TELEPHONE:	(925) 968-9721
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94582
CAPACITY:	30	CENSUS: 0	DATE:	12/07/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:42 PM
MET WITH:	Kiran Vuriti and Vandana Anand		TIME COMPLETED:	03:33 PM

NARRATIVE

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On 12/7/2021 at 12:42pm Licensing Program Analyst (LPA) Morgan Pringle met with Owner Kiran Vuriti and Assistant Director Vandana Anand for an Unannounced Annual Inspection. The owner left the facility at 1:50pm and the Assistant Director finished the inspection. One (1) classroom was toured for a health and safety inspection. No children were present during the inspection. The facility operates from 8:30am – 11:45am. The facility runs a Heritage after school program from 12:00pm – 6:30pm. Present was one (1) fingerprint cleared teacher and three (3) school age children.

The facility has age appropriate materials in the classroom that are observed to be clean and in good condition. The facility has a waiver approval to not provide outdoor space. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. The facility currently has no children that require medications and Incidental Medical Services were discussed. All sinks and toilets are observed to be clean and in proper working order. All children have access to clean drinking water in the classroom. 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 facility menu are made visible in the entrance of the facility. The fire/disaster drill log was complete with the last fire drill on 11/17/2021 and Earthquake drill on 8/23/2021. The sign in and out log was obtained, LPA observed all children that attended the program in the morning were properly signed in and out. LPA obtained the children’s files and staff files. During staff file review LPA Pringle observed that all teachers were missing a record of immunization against Mmr, Tdap and influenza (see LIC809D). LPA Pringle also observed that one teacher was missing proof of Mandated Reporter training. (see LIC9102TV).

Continued on LIC809-C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

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: SAFARI KID - LITTLE HEARTS	FACILITY NUMBER: 073406699
	VISIT DATE: 12/07/2021

NARRATIVE

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Assistant Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Assistant Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Assistant Director that all forms can be downloaded at www.ccld.ca.gov. Assistant Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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.

Assistant Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Assistant Director Vandana Anand.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

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: SAFARI KID - LITTLE HEARTS	FACILITY NUMBER: 073406699
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/07/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/14/2021
	Plan of Correction
1 2 3 4	Assistant Director will ensure that al staff members provide proof of immunizations. Assistant Director will send proof of correction to LPA Pringle by correction date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

LIC809 (FAS) - (06/04)

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