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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408219
Report Date: 06/14/2023
Date Signed: 06/14/2023 10:18:38 AM


Document Has Been Signed on 06/14/2023 10:18 AM - It Cannot Be Edited

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:SAFARI KID - DANVILLEFACILITY NUMBER:
073408219
ADMINISTRATOR:KOTHARI, PRIYAFACILITY TYPE:
850
ADDRESS:4135 BLACKHAWK PLZ CIR STE 150TELEPHONE:
(408) 688-4432
CITY:DANVILLESTATE: CAZIP CODE:
94506
CAPACITY:38CENSUS: 7DATE:
06/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:Priya KothariTIME COMPLETED:
12:18 PM
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On 6/14/2023 Licensing Program Analyst (LPA) met with Director (Priya Kothari) for a Required 1-Year Inspection. Present for this inspection are the Director, 1 fingerprint cleared and associated staff member (Narayani Aurangabadkar, and (7) school age children in care. The facility operates Monday - Friday 08:00AM-6:00PM. The center is located up the hill of Blackhawk Plaza on the lower level of Danville Pediatric Dentistry/Orthodontics, Suite 150.


The center has a total of 4 classrooms. The preschool classroom is equipped with varied age appropriate materials and equipment. There are 3 toilets and 4 sinks available for children. The staff has a separate bathroom. The office will serve as isolation area for sick children (the one with the piano). This is a half day program, thus no cots/mats are needed for nap time. First aid supplies are available in . There is each classroom. There are (2) fully charged fire extinguisher (3A40BC), carbon monoxide detector and working phone number. There is sign in/out sheet in the lobby for parent's full signature.



CLASSROOMS: There are adequate play and learning materials available. Furniture and equipment is age appropriate and in good repair. There is adequate heating, lighting and ventilation. Drinking water is available inside and outside the center. BATHROOMS AND TOILETING AREAS: Toilets and faucets work properly. The children are able to reach the sink and toilets. Toilet paper, soap, and paper towels are all available to the children. Adequate lighting is provided in the bathroom. The school provides cold and hot water to the children. INSPECTION OF FOOD SERVICE AREA: The child typically brings food from home. The school provides emergency snacks–if a child finished there food from home (crackers, juice boxes, etc). No play structure outside

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Sidney CortezTELEPHONE: (510) 295-5031
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2023
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: SAFARI KID - DANVILLE
FACILITY NUMBER: 073408219
VISIT DATE: 06/14/2023
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HEALTH RELATED SERVICES: The director does not store any medications at the facility. The first aid kit is complete; and is available in every classroom. This facility has Incidental Medical Services – IMS. (There are currently no students that need IMS).


RECORDS: Staff members and children's files were reviewed. Required forms were posted in a public accessible area.


CPR and First Aid certificates are current for at least one person on site and will expire on October 2023 (Priya Kothari).


The last fire drill was conducted June 7,2023. A child care roster and personnel report was obtained.




Incidental Medical Services (IMS) policy was discussed. This facility does not provides IMS to children in care at this time. 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.

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Sidney CortezTELEPHONE: (510) 295-5031
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
LIC809 (FAS) - (06/04)
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