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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004637
Report Date: 10/01/2020
Date Signed: 10/01/2020 02:13:20 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:BUILDING KIDZ SCHOOLFACILITY NUMBER:
414004637
ADMINISTRATOR:SANTANA, ELIZABETHFACILITY TYPE:
850
ADDRESS:1633 LAUREL STREETTELEPHONE:
(650) 718-6800
CITY:SAN CARLOSSTATE: CAZIP CODE:
94070
CAPACITY:72CENSUS: 10DATE:
10/01/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Navin ChughTIME COMPLETED:
02:30 PM
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On October 1st, 2020 at 1:30 pm, Licensing Program Analyst (LPA) Kassandra Medrano met with Navin Chugh via Zoom call due to COVID-19 state of emergency. The purpose of the visit was explained, to inspect the room planned for use of their waiver. The facility has a requested a waiver operate temporarily during the COVID-19 state of emergency to provide care for school age children under this preschool license. The facility has plans of using "Room 5" with a cohort size no greater than 16 children and adults to accommodate the need for virtual learning for school age children. The Chugh state they plan on emptying out the room to place desks, and age appropriate materials. School age program will have their own restroom to prevent commingling of the programs. Supervision of school age children coming and going from the bathrooms and at the bathrooms is achieved by facility staff. Director to send proof of updates to classroom via email. The school age children will have the same entrance as the other programs. Facility states they will stagger times of pick up and drop off. As for lunch space the facility has the option to eat outside if the weather permits, but also in the classroom. The outdoor space also serves as play yard, which will be shared with the preschool program. Facility has a staggered schedule planned to ensure both groups of children get play time as well as following current health and safety protocol.

Waiver to be processed, and once approved to be posted. No deficiencies cited.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2020
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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