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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434406757
Report Date: 11/15/2022
Date Signed: 11/15/2022 01:36:13 PM

Document Has Been Signed on 11/15/2022 01:36 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KIDANGO MEYER CENTERFACILITY NUMBER:
434406757
ADMINISTRATOR:CAROLYN LOAYZAFACILITY TYPE:
850
ADDRESS:1824 DAYTONA DRIVETELEPHONE:
(408) 258-9129
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 5DATE:
11/15/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Loayza, CarolynTIME COMPLETED:
02:00 PM
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On this day Licensing Program Analyst/s (LPA/s) Almaraz, Celi conducted an unannounced annual random inspection. Due to COVID- 19 precautionary measures were taken. This facility is currently licensed for a capacity of 22. Licensing staff met with Director Loayza, Carolyn and explained the nature of today’s inspection. This is a preschool program that currently operates from 7:30 AM to 4:00 PM, Monday thru Friday. The program is divided into an AM and PM program. The AM program operates from 7:45 AM to 10:45 AM, the PM program operates 11:45 AM to 2:45 PM. This program is on Meyer Donald Elementary School campus.

Licensing staff was taken on a guided tour of the facility of both indoors and outdoors. At the initial start of this visit, there was a total census of 5 preschoolers (AM) and a total census of 3 staff, one Director, two fully qualified teachers were present.

Physical Plant: All areas identified on the Facility Sketch were inspected. This preschool program which consists of the following classrooms: Room 80 LPA observed the following: Staff # 1 Director, teachers (Staff #2,3) and 5 preschool children. Teacher child ratios were observed, and staff names recorded. Personal rights observed. There is access to 3 sinks, 2 toilets. All classrooms observed to have suitable furniture and equipment, which were inspected for age appropriateness. All classrooms observed to have sufficient have telephone services, heating, lighting, and ventilation.

General sanitization & safety: Each child has their own cubby to store their belongings. Per Director, sick children are isolated in the director's office area. LPA observed that all storage containers for solid waste, including moveable trash receptacles have tight-fitting covers that are kept on, and in standard condition and the children’s garbage bins have foot petals to open. General sanitation was observed. 1/6
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2022
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO MEYER CENTER
FACILITY NUMBER: 434406757
VISIT DATE: 11/15/2022
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Availability of indoor drinking water was observed in classrooms, through filtered pitchers. Disinfectants, cleaning solutions, medication and other hazardous items that pose a risk to children, were inaccessible to the children in care, out of reach and locked. Director states that poisons are kept with the custodian. No bodies of water or other hazards were observed during inspection. Director understands that smoking is prohibited. Per Director there are no firearms on site.

Kitchen: All kitchen areas/food preparation and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. Water and refrigerator temperatures in standard condition. Director states waste is to be discarded immediately after each meal.

Food: Menus are posted monthly, in classroom and new menus given to parents upon pick up. Menus for the past one year are available upon request. Facility provides breakfast for AM program and lunch for PM program. LPA reviewed food for availability, quantity, and appropriateness to children in care. Per Director, all meals are prepared daily at the head office (Freemont) and transported to facility. Snacks and supplemental food with 5 components kept on site. Per Director there is an allergy list for each child posted in kitchen area. LPA and director discussed a name, picture and allergy list posted in kitchen area for best practice. Director states there are currently no allergies.

Lavatories: There is one lavatory with one sink and two toilets. All toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. At this time, there are 13 children enrolled for the AM class and 10 for the PM class; therefore, one toilet can be used to isolate a sick child. LPA and Director discussed when at full capacity, a child will use the staff lavatory. Director states that the staffroom lavatory is shared with the main office of the school. PEr Director there are always 3 fully qualified staff present.



Outdoor Playground: Equipment is in safe condition, free of sharp, defective or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. This playground is shared with the elementary school. There is no sandbox. The playground is fully fenced. 2/6
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022
LIC809 (FAS) - (06/04)
Page: 2 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO MEYER CENTER
FACILITY NUMBER: 434406757
VISIT DATE: 11/15/2022
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Facility Records: LPA/s issued Review of Staff records (LIC 859) to the Director during this inspection. At least one staff (Director) has record of CPR and First Aid, valid until
10/01/2023. All staff present have the following: MMR & Tdap vaccinations, flu vaccine or the opt out. All staff has completed Mandated Reporter Training, Director’s training valid thru 10/05/2024. Directors understand this must be renewed every two years. LPA/s reviewed 2 children's files and issued an LIC 857. LPA reviewed 3 staff files total. All files were observed to be complete.

Sign in and out: Procedures were reviewed by LPA/s to ensure that children who are present where sign in. Facility uses an electronic sign in/sign out system. LPAs obtained a roster and personnel report at the conclusion of this inspection.

Waivers: There are two waivers including: 1. Primary facility file, Kidango Ohlone Chynoweth Center (facility 434404854) as the central administrative file for Criminal Record Association. 2. Outdoor activity space 101175 (b) usage of the adjacent play area shall not occur at the same time. There shall be a schedule usage between preschool and kindergarten and posted. According to posted schedule preschooler use the playground preschool usage is from 9:45 to 10:15 (AM) and 1:45 to 2:15 (PM). Facility is currently in compliance with the terms of the waivers.

Medical & First Aid Supplies: There is a first aid kit in classroom, kept in two backpacks on each end of the classroom. LPA reviewed kit to ensure supplies are complete. Director states that supplies are checked every month. Per Director medication is only administered to a child when accompanied with a doctor's note, parent plan, authorizations are to be completed monthly. The medication is kept in a locked cabinet or refrigerator if needed and/or in emergency backpack when outside (at least six feet high) which is stored out of reach of children.

Per Director there are currently no children enrolled who required Incidental Medical Services (IMS). 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 3/6

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022
LIC809 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO MEYER CENTER
FACILITY NUMBER: 434406757
VISIT DATE: 11/15/2022
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Fire & Safety: Carbon monoxide detectors and smoke detectors are working and present in the facility, the fire department conducted a fire inspection on 10/03/2022. There is a Fire extinguisher, size 3A40BC in room, last serviced showing 10/21/2021, however extinguisher is full. LPA observed proof of inspection dated 10/03/2022 and will place in file. Last fire drill was conducted on 11/14/2022, Director understands this is to be completed every six months.

Matts and cots: There is no napping for the 3 hour programs. Per Director if a child needs to nap there is a matt for napping if needed. Matt observed to be maintained in a safe condition with no exposed foam. Constructed of material at least 3/4 inch thick. Covered with vinyl or similar material that can be wiped. Designed so that the sleeping side can be distinguished from the floor side. Per Director mat/s wiped after each use with detergent, disinfectant or when soiled or wet. There is a disposable slip-on cover for matt. LPA and Director discussed on site blanket to cover a child if needed. Per Director bedding will be washed if used, understands bedding is not to be shared. LPA reminded Director that if bedding is brought from home, it shall be individually stored so that each child's bedding is identifiable, and no child's used bedding shall meet other bedding.



Lead Testing: Director states a certified external water sampler took sample on 09/15/2022 and lead was found in one facet, unit C, which is currently capped off. Kidango head office will submit a report for all Kidangos with high lead levels, by mid-December. Director understands providers must submit the LIC 9275, a completed signed and dated childcare sampling checklist form LIC9276 and a facility sketch LIC 999 fully labeled with locations of all water outlets to their LPA and self-report testing results. LPA advised Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. For commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Postings: Parent’s Rights Poster (with complaint Hotline) was observed during this inspection. LPA observed all required postings, including license and emergency disaster plan. LPA and Director discussed updating relocation site off premises in the event of an emergency, Director has filled out form and posted by the end of visit. LPA obtained copy for the licensing file. 4/6

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO MEYER CENTER
FACILITY NUMBER: 434406757
VISIT DATE: 11/15/2022
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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

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.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the facility representative.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers



The following was discussed:
· Reporting Requirements.
· The facility shall ensure that each child is accorded the following personal rights: to be accorded safe, healthful and comfortable accommodations.
· All personnel shall be in good health and shall be physically and mentally capable of performing assigned tasks; personnel that pose a threat to the health and safety of children shall be relieved of their duties. All personnel shall be given on the job training in housekeeping, sanitation principles and universal health precautions.

LPA advised the facility representative to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. 5/6
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022
LIC809 (FAS) - (06/04)
Page: 6 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO MEYER CENTER
FACILITY NUMBER: 434406757
VISIT DATE: 11/15/2022
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There are no deficiencies being cited in accordance with Title 22 of the California Code of Regulations and Health & Safety codes.

LPA and Director discussed the following: 1. A name to face list of allergies. 2. Updated LIC 610, relocation sites, which was listed another Kidango location. Director updated this during visit. 3. One to two blankets kept on site. 4. There are crevices in the playground, Director will talk to school about filling them in. Director understands that while facility is currently in compliance, failure to take such measures may result in future citations. LPA may conduct an unannounced case management to inspect the facility for updates.

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

Exit interview conducted and report was reviewed with facility representative. 6/6
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022
LIC809 (FAS) - (06/04)
Page: 5 of 6