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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517312
Report Date: 09/24/2021
Date Signed: 09/24/2021 01:59:06 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:NEIGHBORHOOD KIDS' CORNERFACILITY NUMBER:
410517312
ADMINISTRATOR:MCAFEE, SUSANFACILITY TYPE:
840
ADDRESS:3790 RED OAK WAYTELEPHONE:
(650) 365-6117
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:90CENSUS: 15DATE:
09/24/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Susan MCAfeeTIME COMPLETED:
01:02 PM
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On September 24, 2021, Licensing Program Analyst (LPA) April Cowan conducts an unannounced case management inspection for room addition. LPA meets with the licensee and Site Director, Debbie Giannattasio. The purpose of the inspection is explained to them. There are no children with 2 staff present when LPA arrives. At 1:00 PM, 15 children arrive. This inspection is due to an application received in the Regional Offices. Licensee is adding Room 20 to the license.

With director, LPA inspects Room 20. LPA observes room has smoke detector, carbon monoxide detector, fully charged fire extinguisher and working telephone on site. There are no cleaning solutions, poisons and other chemicals accessible to children. Facility has age appropriate furniture. Facility floor is in good repair and free of any hazards.

Licensee states that she has submitted the Superintendents Certificate to the Regional Office. Licensee agrees to mail a copy to the Regional Office, if certificate is not found.

Pending Superintendent's certificate, LPA approves Room 20 for use.
Moving forward, Licensee will be using rooms 20, 21,22, 23A, and 24 for child care.

This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For a quarterly update on Licensing information, go to the CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April CowanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
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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