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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004088
Report Date: 01/08/2020
Date Signed: 01/09/2020 05:47:26 AM

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:NEWTON @ OAK KNOLL (MPCSD)FACILITY NUMBER:
414004088
ADMINISTRATOR:ENHUBER, REGINAFACILITY TYPE:
840
ADDRESS:1895 OAK KNOLL LANETELEPHONE:
(650) 345-4043
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY:80CENSUS: DATE:
01/08/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Site Supervisor, Regina EnhuberTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA), Cindy Interiano, met with Site Supervisor, Regina Enhuber. Purpose of the inspection was explained and was for a case management inspection to ‘add’ an additional room to the license. Facility is currently licensed for 80 School age children (ages 5-11 years old) in Rooms: #K2, #K3, #30 and #35. Facility has requested to add Room #34 to the license.
At the beginning of the inspection, no children were present in the Afterschool program since school was still in session. At end of inspection, present there were 6 Staff supervising 72 School age children. Program operates on the Oak Knoll Elementary School site, M/Tu/W/F 2:55p-6p and Thursday 1:25p-6p during the School District calendar. Program is closed during school breaks. Facility was inspected indoors and outdoors for Health and Safety hazards. Classrooms have age appropriate toys and equipment for children. Program has exclusive use of the outdoor space. Children are not allowed to go beyond the set boundaries of the playground, unless supervised by a staff. Outdoor play area is free of debris and dangerous conditions. All outdoor toys and equipment are age appropriate and in good repair. Rooms are equipped with an industrial fire alarm, a carbon monoxide detector, and a fire extinguisher. Program has exclusive, scheduled use of 3 accessible Boys’ and Girls’ restrooms, which are maintained clean, in good repair, and with adequate supplies.

Rooms are on an operating school district site and has periodic fire inspections. On file is a current Fire inspection report.

Room: #34 is now approved and will be included in the School Age License.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report and rights to comment and appeal were discussed with Site Supervisor. This report must be available in the facility for public review. Notice of site inspection was posted. Site Supervisor was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020
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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