075700606-2-5-2021-52-CC-MOTI-BXXVCH-20210205151909

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 075700606
Report Date: 01/12/2021
Date Signed: 02/05/2021 03:20:26 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:	BUILDING KIDZ OF SAN RAMON		FACILITY NUMBER:	075700606
ADMINISTRATOR:	PATEL, BRIJEETA T.		FACILITY TYPE:	850
ADDRESS:	210 PORTER AVENUE, SUITE 110		TELEPHONE:	(408) 315-2485
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94583
CAPACITY:	84	CENSUS: 0	DATE:	01/12/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Brijeeta Patel		TIME COMPLETED:	02:05 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	THIS VISIT WAS DONE VIRTUALLY VIA ZOOM DUE TO COVID-19 PANDEMIC An announced Pre-Licensing Inspection was conducted today 1/12/2021 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant Brijeeta Patel. The applicant has submitted an application for a Change in Ownership preschool license for 80 preschools including up to 8 toddlers in the toddler option program. The program will operate from 7:00AM - 6:00PM, Monday through Friday, in 4 classrooms, and a Music Room. Toddler Room will serve the toddler option program with up to 8 toddlers. A health and safety inspection was conducted inside and outside and the measurements are as follows: INDOORS: 2895.98 = 83 children OUTDOORS: 6744 square feet = 89 children The center has obtained an approved fire inspection clearance from the San Ramon Valley Fire Department on 12/30/2020. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 11 toilets, 8 sinks available for children. The office and the staff toilet will serve as isolation areas for sick children. The center will provide Breakfast, and am/pm snacks with children bringing lunch from home. No cleaning agents were found stored with food. The center has pitchers and cups, as well as children bringing their water bottles from home. Pitchers and cups will be taken to the play yard for outdoor activities. First aid supplies are available in the center. There is a working telephone on site. Mats and Cots are being utilized. The play yard is fenced in all around. The small climbing structure is sufficiently cushioned with poured rubber. Sufficient shade was observed on the yard. Carbon monoxide detector was tested and is operable on today's date. The facility will utilize an electronic sign in/out system. With paper sign in/out as backup.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2021

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: BUILDING KIDZ OF SAN RAMON	FACILITY NUMBER: 075700606
	VISIT DATE: 01/12/2021

NARRATIVE

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Individual Medical Services (IMS) policy was discussed. Facility provided LPA with current IMS plan. When any changes to IMS is made, an updated Plan of Operation 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.

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 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. Zero Tolerance policies were explained. The center was found to be clean, safe, sanitary, and in good repair.

A license for 80 preschool children, which includes up to 8 toddlers in the toddler option program, will be issued pending submission and review of requested forms.

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: 01/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2021

LIC809 (FAS) - (06/04)

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