214005488-2-3-2021-05-CC-BVAN-BXVVDL-20210203152056

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005488
Report Date: 02/03/2021
Date Signed: 02/03/2021 03:21:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	GOLDEN POPPY PRESCHOOL & INFANT CENTER		FACILITY NUMBER:	214005488
ADMINISTRATOR:	DEKSNYS, JOAN		FACILITY TYPE:	830
ADDRESS:	50 EL CAMINO REAL		TELEPHONE:	(415) 924-2828
CITY:	CORTE MADERA	STATE: CA	ZIP CODE:	94925
CAPACITY:	40	CENSUS: 20	DATE:	02/03/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Shri Raval and Joan Deksnys		TIME COMPLETED:	03:30 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	Due to the COVID-19 health crisis and local county orders, a tele-inspection was conducted. Licensing Program Analyst (LPA) Van met with the owner, Shri Raval, and Site Director, Joan Deksnys, for a case management via Facetime. The Department received an application from the facility requesting a capacity increase. This is an Infant's Program; currently, the facility is licensed for 40 infants and requesting an increase of capacity to 52 infants. At present, eight teachers are caring for 20 infants. The fire inspection was conducted by Corte Madera Fire Dept and approved for a capacity of 52 Infants on January 11, 2021. Through FaceTime video chat, LPA, Site Director, and the Owner inspect the new building for Health and Safety Hazards. This facility is a combination center caring for Infants and Preschool children. The new space has a hexagonal shape, and the owner decided to divide the space into two classrooms. One half of the space is designated for the Infant program, and the other half is for the Preschool Program. A solid wall is separating the two programs. Due to the inspection being done virtually, the Site Director measures the new classroom. The new Infant room measures 424 square feet allowing for the addition of 12 children. The room appears clean and in good repair with sufficient lighting and ventilation. There is a fully charged fire extinguisher that meets the minimum size requirement. The facility is also equipped with carbon monoxide detectors, a centralized smoke alarm, and a fully stocked FirstAid Kit. All furnishing and equipment are observed to be in good condition, and there are cubbies available for children's belongings. LPA observed the diaper changing tables have at least 1" thick padding covered with vinyl and with sides raised to at least a minimum of 3". The changing tables are within arm's reach of the sink. There is a separate napping area for children to nap or rest without distraction or disturbance. Continued on the next page...

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2021

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 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GOLDEN POPPY PRESCHOOL & INFANT CENTER	FACILITY NUMBER: 214005488
	VISIT DATE: 02/03/2021

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
26
27
28
29
30
31
32

Indoor: The Infant program currently has two classrooms; Kittens (0-24 months) and cubs (12-24 months). Both classrooms have a combined measurement of 2303 sq ft; the square footage for all three rooms has a total of 2727 sq ft, which allows for a capacity of 77 infants. There are now a total of 5 sinks for children's usage allowing for 75 infants.

Outdoor: From the previously measured outdoor, the outdoor measured 1355 square feet allowing for 18 infants. The facility currently has an outdoor waiver approved by the Department from the previous Pre-Licensing. The waiver allowed the facility to use the designated outdoor play yard in scheduled rotations with no more than 18 infants at a time.

Since the inspection was done virtually, the report was emailed to the Site Director. The site Director was advised that a follow-up inspection will be conducted in the future, and the new classroom's re-measure might be required.

The facility is recommended for a capacity increase to 52 Infants upon supervisor reviews and approval.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2