<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004637
Report Date: 10/19/2020
Date Signed: 10/19/2020 04:47:47 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: DATE:
10/19/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nevin ChughTIME COMPLETED:
12:35 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
 THIS IS AN AMENDED REPORT

On October 19, 2020 at 11:00 AM, Licensing Program Analyst (LPA) Cowan conducted a case management inspection in response to an application received from the Licensee requesting to add a toddler option to license. Due to Covid-19, the inspection is conducted via Facetime. During today's inspection, LPA toured the facility building and grounds. Facility is currently using the Dragonflies room for preschoolers. Licensee is requesting to use the Butterflies Room (Room 6) for toddlers.

Based on the number of sinks and toilets, the maximum capacity is allowed is 75. The facility has designated one toilet and one sink for toddlers. A changing table is located directly next to the toddler's sink. Toddlers will be escorted to the bathroom by staff.

Toddlers will use the play yard at a separate time from preschoolers. Times are yet to be determined. Licensee is to submit a request for a waiver for out door play time. Yard has appropriate toys and structures for toddlers.

A fire safety inspection report was received giving approval for a maximum capacity of 72 children, allowing clearance for toddlers in the Lady Bug Room, Butterflies, Honey Bees, and Dragonflies rooms.
LPA observed adequate storage space for children's belongings, furniture, toys and equipment available to meet the needs of toddlers in care.

LPA approves the addition of 12 toddlers using the butterflies room of 468.56 square feet. This will be effective 10/19/20.

SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April CowanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2020
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 1