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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400386
Report Date: 09/29/2020
Date Signed: 05/19/2021 09:21:11 AM

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:CASA DEI BAMBINI SCHOOLFACILITY NUMBER:
434400386
ADMINISTRATOR:ROSHAN & SANDRAFACILITY TYPE:
850
ADDRESS:463 COLLEGETELEPHONE:
(650) 473-9401
CITY:PALO ALTOSTATE: CAZIP CODE:
94301
CAPACITY:72CENSUS: 0DATE:
09/29/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:28 PM
MET WITH:Sandra BalzarettiTIME COMPLETED:
01:00 PM
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DUE TO THE COVID-19 PANDEMIC, THIS CASE MANAGEMENT INSPECTION WAS DONE VIA TELE-VISIT THROUGH ZOOM.

A Case Management TELEVISIT inspection was conducted on this date 9/29/2020 by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Licensee Sandra Balzaretti and Director Roshan Amerasinghe. The center has applied to add a toddler-option (18 months-36 months) to their license with no increase in the number of children they are currently licensed for. The center is requesting for up to 14 toddlers in the toddler-option program. A health and safety inspection was conducted inside and outside. The preschool program consists of 6 rooms (Rooms #10, #11, #12, #13, Multi-Purpose Room and Casa). Room #10 & Room #11 will be used for the toddler-option program. Hours of operation are from 8:00am-6:00pm, Monday through Friday. The classrooms were measured and the measurements are as follows:



INDOORS: 4371.37 square feet = 124 children
OUTDOORS: 13386.58 square feet = 178 children

First aid supplies are available in the center. Facility has a functioning carbon monoxide detector. The preschool with a toddler-option program has 6 sinks and 5 toilets and 1 urinal available. There is also a separate staff bathroom. Isolation room for sick children will be the office and staff bathroom.

This facility plans to provide Individual Medical Services – IMS. An updated Plan of Operation that includes IMS must be submitted to the Department when any changes are made. 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: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020
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 2
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: CASA DEI BAMBINI SCHOOL
FACILITY NUMBER: 434400386
VISIT DATE: 09/29/2020
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Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There were no deficiencies cited during this visit.

A license for 72 preschoolers, which includes up to 14 toddlers in the toddler-option program will be licensed issued once fire clearance is received.

An exit interview was conducted.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020
LIC809 (FAS) - (06/04)
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