434400096-12-10-2021-52-CC-KPHN-C9L33W-20211210165412

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400096
Report Date: 12/10/2021
Date Signed: 12/10/2021 04:54:22 PM

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:	ABRACADABRA CHILD CARE CENTERS INC.		FACILITY NUMBER:	434400096
ADMINISTRATOR:	KIMERLE WOODALL-MC GAW		FACILITY TYPE:	840
ADDRESS:	1120 ROSE AVENUE		TELEPHONE:	(650) 965-0695
CITY:	MOUNTAIN VIEW	STATE: CA	ZIP CODE:	94040
CAPACITY:	105	CENSUS: 46	DATE:	12/10/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Kimberle Woodall-McGaw		TIME COMPLETED:	05:00 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 12/10/2021 at 2:15pm, Licensing Program Analyss (LPA) Kelly Phan met with Kimberle Woodall McGaw for an unannounced Required 1-Year Inspection. Present for this inspection are six fingerprint cleared and associated staff members and 46 school aged children in care. Facility operating hours are 2:30pm-6pm Monday, Tuesday, Wednesday, and Friday. On Thursdays, they are open a hour earlier (1:15pm to 6pm) as an after school program on the site of Springer Elementary School. The facility was toured to conduct a health and safety inspection. At 2:20pm, LPA toured the facility portables (1 portable is used for homework assistance). The portables are tidy and clean with heating and ventilation for safety and comfort. There are safe age-appropriate toys and learning materials available to children throughout the portables. All hazardous materials and toxins including disinfectants and cleaning solutions were observed to be made inaccessible to children during today's inspection. Furniture accessible to children was observed to be age-appropriate, in operable condition, and free of loose, sharp, or pointed parts. The facility has five bathrooms, but 1 bathroom is only for staff. LPA observed adequate amounts of paper towels and hand soap available to children in the bathroom during today's inspection. No cleaning supplies were observed to be accessible to children during today's inspection. There are required notices posted for public review along with an allergy action plan and snack calendar. The child snacks are stored in the fridge and have original packaging/store in tuber ware along expiration dates. Fire and earthquake drill was last conducted on 11/29/21 along with an inspection from the Fire Marshall to check carbon monoxide and smoke detectors; There was a fully charged 3A40BC fire extinguishers and working telephones throughout the facility. At 2:45pm, LPA toured the outdoor play area. All play equipment was observed to be operable and age-appropriate during this inspection. Areas around swings, slides, and high climbing equipment have cushioning material (wood chips) to absorb falls. There are no pools, hot tubs, ponds, or any other bodies of water during today's visit. SEE LIC 809 C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Kelly Phan	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ABRACADABRA CHILD CARE CENTERS INC.	FACILITY NUMBER: 434400096
	VISIT DATE: 12/10/2021

NARRATIVE

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At 3:45pm, LPA reviewed sign in/sign out sheet. LPA observed 46 signatures out of 46 children present in the facility during today's inspection. 11 children's files and 7 staff files were reviewed for proper documentation. Facility roster was reviewed and a copy was obtained. The first aid cabinet was observed to be complete along with any prescribed or non-prescription medications. Medications were in original packaging along with expiration dates and clear instructions in a locked cabinet that only can be opened with a key.

Exit interview conducted. Appeal rights and site visit notice was given to licensee/director to post for 30 days.

Incidental Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. Facility is following IMS plan on file. When any changes to the IMS plan is made, an updated Plan for Providing 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.”

Facility Representative 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.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Kelly Phan	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

LIC809 (FAS) - (06/04)

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