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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430710193
Report Date: 09/12/2022
Date Signed: 09/12/2022 03:09:08 PM


Document Has Been Signed on 09/12/2022 03:09 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:EL CARMELO KIDS CLUBFACILITY NUMBER:
430710193
ADMINISTRATOR:SINGH, DANIELFACILITY TYPE:
840
ADDRESS:3024 BRYANT STREETTELEPHONE:
(650) 856-6150
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:70CENSUS: 31DATE:
09/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Danny SinghTIME COMPLETED:
03:15 PM
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On September 12, 2022 at approximately 11:45am LPA Haderer arrived unannounced for an annual inspection for compliance to Health and Safety. The new CARE tool was used for the inspection. Present for the inspection was site director Danny Singh; 2 teachers 11 children in care. During the inspection, a second wave of children arrived, totaling 31 children present. The school is in ratio today. The center operates from 11:30am through 6:00pm.

The facility operates in a large portable room on the campus of El Carmelo Elementary School. The children use the three playgrounds and a small area to learn gardening. All outside areas are in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Shade is ample and access to drinking water is available, teachers are always present with the children.



The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept in the off-limits staff restroom out of the access of children. There are air purifiers (2) on each side of the classrooms; no bodies of water accessible to children in care. The center prepares meals for children and provides snacks, menus were available. Snacks were checked, all items were fresh and not expired. The facility had non-fat milk available in the refrigerator. There are drinking fountains on the sink basins in the classroom and also filtered water (Britta) for children in the classroom.

The sign in/out sheets were completed electronically through Learning Genie, counts were checked and found to be accurate. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/12/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: EL CARMELO KIDS CLUB
FACILITY NUMBER: 430710193
VISIT DATE: 09/12/2022
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The facility has 2 fully charged 3A40BC fire extinguishers, one mounted next to each door in the classroom. The last annual inspection was completed on 8/10/2022. The fire alarm system is connected with the elementary school and was last tested on 8/10/2022. There is a carbon monoxide detector present, tested and functioning. Heating and ventilation in the classroom is acceptable. Disaster drills are conducted at least once every six months, the last test was completed in 8/25/2022. There is a child’s restroom in the classroom with a designated “boys” and "Girls” toilets and staff has a separate private restroom. There are enough towels and soap supplies.

Children's records were reviewed: LPA requested the children's facility roster and made a copy for the files. All files selected were complete, up to date and in good order.

Staff files were reviewed and found to be complete and in good order. All staff subjected to criminal review have been cleared and associated to the facility. Opening and closing staff have current CPR and first aid training. Mandated Reporter certificates were all current. LPA reminded site director: CPR/1st Aid and Mandated Reporter training is to be renewed every two years. All staff are compliant with immunization laws pertaining to child care centers.

Site Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: EL CARMELO KIDS CLUB
FACILITY NUMBER: 430710193
VISIT DATE: 09/12/2022
NARRATIVE
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

There were no deficiencies issued today.This report will remain on for for 3 years.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Site Director Danny Singh.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022
LIC809 (FAS) - (06/04)
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