414004834-10-15-2021-05-CC-CQUO-C7TSG8-20211015135128

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004834
Report Date: 10/14/2021
Date Signed: 10/15/2021 01:51:34 PM

Document Has Been Signed on 10/15/2021 01:51 PM - It Cannot Be Edited

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		FACILITY NUMBER:	414004834
ADMINISTRATOR:	ABEA, TANYA		FACILITY TYPE:	850
ADDRESS:	935 EL CAMINO REAL		TELEPHONE:	(650) 758-8960
CITY:	SO. SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY: 75	TOTAL ENROLLED CHILDREN: 60	CENSUS: 0	DATE:	10/14/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Ana Galdamez and Jayme Sotto		TIME COMPLETED:	01:00 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	On October 14, 2021 at 9:00am, Licensing Program Analyst (LPA) Catrina Quimbo met with co-applicant, Ana Galdamez, and account manager, Jayme Sotto, for a scheduled pre-licensing application. Original application was submitted August 18, 2021. Co-applicant is requesting 75 preschool children (ages 2 years to entry into first grade). The facility will operate Monday through Friday 7:00am – 6:00pm. Children will be signed in and out with written signatures by enrolled children’s parents. The designated person in charge of the facility is Tanya Abea. The facility was inspected, indoors and outdoors, for health and safety hazards and measured to calculate capacity. Indoor There are four classrooms (Classroom #1, Classroom #2, Classroom #3, Classroom #4) for the preschool program. Preschool classroom #1 (2-year olds) square footage was calculated for 370.73 sq ft. Preschool classroom #2 (2.5-3.5-year olds) square footage was calculated for 565.51 sq. ft. Preschool classroom #3 (3.5-4 year olds) square footage was calculated for 573.96 sq. ft. Preschool classroom #4 (4.5-5-year olds) square footage was calculated for 610.38 sq. ft. Total useable classroom square footage is 2,120.58 sq. ft divided by 35 sq. ft equaling a capacity of 60 children. The facility contains an additional indoor space of a multipurpose, open area, located outside the four preschool classrooms. The multipurpose area is to be utilized as additional activity space for drama/ play area and performing arts area. The multipurpose area square footage was calculated for 639.27 sq. ft divided by 35 sq. ft equaling a capacity of 18 children. Due to space being an open area and not used as a daily classroom, this space is not included in total square footage/ capacity. (Continue Report on Page 2...)

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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	FACILITY NUMBER: 414004834
	VISIT DATE: 10/14/2021

NARRATIVE

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LPA observed indoor space for children to be new, clean and all furnishing, toys and equipment observed to be in good condition. Sufficient storage space for children’s personal belongings are located inside each classroom. Mats are to be utilized for napping children. Per applicant, enrolled families are to provide sheets and blankets for napping children. Laundering and sanitizing was discussed with co-applicant and account manager. Blankets and sheets are to be sent home weekly or as needed. Each classroom is equipped with a fully charged fire extinguisher, smoke and carbon monoxide detector. First Aid Kit and emergency supplies are located in each classroom, inaccessible to children. Garbage cans have tight fitting lids. The facility is adequately ventilated and free of insects and bugs. Cleaning products, poisons, hazardous materials and medicines are to be stored in each classroom’s high cabinets, inaccessible to children. Designated isolation area is to be facility's main office.

Facility has one children’s bathroom that is located next to preschool classroom #1 (2-year olds). Bathroom #1 is equipped with 5 sinks and 5 toilets. Total allowable capacity toilets and sinks is 75 children. All sinks accessible to children do not provide water that is warmer than 120 degrees.

The facility does not contain a kitchen area, however, contains a staff lounge/break room that includes a microwave and refrigerator. For food service, preschool program will provide dry AM and PM snacks. Disposable utensils and cups are to be provided and utilized. Enrolled children's families are to provide lunch, labeled with each individual child's name. Staff refrigerator and microwave available to children's lunches upon request. Children are to bring their own bottled water containers. Drinking fountains, filtered water containers and disposable cups are also available to children if needed.

Medications with children’s individual names and required documentation will be stored in classroom’s high cabinets, inaccessible to children in care. Medications that require refrigeration will be stored in staff lounge’s refrigerator.

(Continue Report on Page 3...)

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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	FACILITY NUMBER: 414004834
	VISIT DATE: 10/14/2021

NARRATIVE

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This facility plans to provide Incidental Medical Services—IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Outdoor
The outdoor square footage was calculated for 3,907.93 sq. ft divided by 75 sq. ft equaling a capacity of 52 children. Co-applicant to request a waiver and rotation schedule due to lack of square footage for total allowable capacity of 60 children. An at least four foot high fence enclosed the outdoor area to be used. The playground area was equipped with age appropriate toys and equipment for children. Turf and wood chips are used as resilient padding under play structures. Adequate shade is provided by trees. LPA advised co-applicant of daily sanitization of outdoor materials due to debris falling from trees. Accessible water is to be made available to children outdoors with filtered water containers and disposable cups.

The following items were reviewed as part of today’s visit: Record keeping for staff, children and facility records, Required Documents to be posted, Care and Supervision of the Children, Child Discipline Procedures -staff will use redirection, Emergency Evacuation Procedures, Medication Policies, Isolation of Sick Children, Napping Requirements, Food Service, Parents Rights and Reporting Requirements. Required postings were observed during today’s inspection. Facility will conduct monthly disaster drills and a log will be maintained for review upon request. The requirement for Lead Water Testing was discussed (H&S Code 1597.16).

An electronic copy of this 4 page report was emailed to co-applicant, Ana Galdamez on October 15, 2021. Co-applicant was asked to review the report and acknowledge is it was received and reviewed.

(Continue Report on Page 4...)

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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	FACILITY NUMBER: 414004834
	VISIT DATE: 10/14/2021

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LPA will recommend licensure of this facility for a capacity of 60 children once the following is completed and/or received:

-Request of Outdoor Waiver with Rotation Schedule.
-Removing non-age appropriate toys from Classroom #2 (2.5-3.5 year olds)
-Installation of padding on metal pole located in Classroom #1 (2 year olds)
-Covering of thermostat in Classroom #1, making it inaccessible to children in care.
-Installation of padding on all classroom's high, storage cabinets.
-Installation of sturdy door sensor alarms to:
-Exit door located in Classroom #1
-Exit gate located in outdoor area leading to back alley behind neighboring building.
-Exit gate located in outdoor area leading to street.
-Installation of child safety door handles to:
-Second classroom door in Classroom #2
-Shared door between Classroom #1 and Classroom #2
-Installation of padding to metal pole located in outdoor area.
-Removing cinder blocks located throughout outdoor area.
-Fixture of shared gate between facility and neighboring building.
-Updated Articles of Incorporation with Secretary of State Seal.
-Updated and corrected Monthly Operating Statements of all facilities applicants own.
-Updated Proof of Control of Property with Corporation's name.
-Revised Balance Sheet signed by both applicants.
-Revised Director Qualifications for designated director, including Preventative Health certificate.
-Updated Emergency Disaster Plan.
-Revised Job Descriptions.
-Revised Parent Handbook.
-Revised Admission Agreement.
-Revised Schedule of Daily Activities.
-Copy of Photo I.D. for both applicants and designated director.

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2021

LIC809 (FAS) - (06/04)

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