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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004088
Report Date: 08/19/2020
Date Signed: 08/25/2020 02:31:25 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: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: 0DATE:
08/19/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Director, Tal TamirTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA), Cindy Interiano conducted a Case Management inspection and met with Director, Tal Tamir via a Tele-inspection. Purpose of the inspection was explained to Director. Facility is currently licensed for 80 School age children (grades TK to 5th grade) in Rooms: #K2, #K3, #30, and #35. Facility has requested to add Room #17, #24, #25, #30, #34 and #36 to the license.
Director lead LPA on a virtual inspection of the facility indoors and outdoors for Health and Safety hazards. Classrooms have age appropriate toys and equipment for children. Rooms are equipped with an industrial fire alarm, a smoke and carbon monoxide detector, and a fire extinguisher. Program has exclusive use of accessible boys’ and girls’ restrooms on campus, which are maintained clean, in good repair, and with adequate supplies. Program has exclusive use of the outdoor space, which is maintained free of debris and dangerous conditions.

On file is Fire’s ‘Annual School Inspection,’ dated 09/19/19.

During inspection, LPA provided Technical Assistance for Covid-19 guidelines.

Prior to updating license to include Rooms #17, #24, #25, #30, #34 and #36
>Final review is required from the Department.

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

>This report will be emailed to facility. This report must be available in the facility for public review. Any additional questions to call Office, M-F, 8a-5p, 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: 08/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2020
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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