434407984-4-14-2021-52-CC-MOTI-C23P32-20210414105651

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434407984
Report Date: 02/25/2021
Date Signed: 04/14/2021 10:57:04 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:	ABILITIES UNITED - MILESTONES		FACILITY NUMBER:	434407984
ADMINISTRATOR:	SOHEILA RAZBAN		FACILITY TYPE:	850
ADDRESS:	3864 MIDDLEFIELD RD		TELEPHONE:	(650) 618-3325
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	40	CENSUS: 7	DATE:	02/25/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	01:32 PM
MET WITH:	Jennifer Piccinini		TIME COMPLETED:	02:30 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	**THIS VISIT WAS CONDUCTED VIRTUALLY VIA THE ZOOM PLATFORM DUE TO COVID-19 PANDEMIC. A Case Management Visit was conducted on this date 2/25/2021 by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Applicant/Managing Director, Jennifer Piccinni, Center Director Grace Corpuz and Program Coordinator, Christina DeVera. The center has submitted an application for an increase in capacity from 40 preschoolers to 58 preschoolers. In addition, the center is also adding two rooms (Maple and Stone Pine), adding the Multi-Purpose Room and conducting a name change to the Corporation (to AbilityPath Housing) and Facility (to Learning Links Palo Alto). Hours of operation are from 7:30AM-6:00PM, Monday through Friday. Present during today's visit were 7 napping preschoolers and 4 staff members. A health and safety inspection was conducted inside and outside. The following are the measurements: INDOORS: 3533.71 square feet = 101 children OUTDOORS: 3823.62 square feet = 51 children Opening and closing staff have current CPR/FA. Playground equipment is in good condition. Drinking water is available inside and outside. All toilets and hand washing facilities are in safe and sanitary operating conditions. Menus are posted. Snacks are provided and prepared on site. There is adequate variety and quantity of foods to meet the children's needs. Children bring lunch from home. The storage of napping equipment was observed. The sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2021

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: ABILITIES UNITED - MILESTONES	FACILITY NUMBER: 434407984
	VISIT DATE: 02/25/2021

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
26
27
28
29
30
31
32

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.

A review of current roster indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The center has obtained an approved fire safety inspection from the Palo Alto Fire Department on 2/4/2021. All licensing required documents are posted.

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.

Zero Tolerance policies were explained. Notice of Site Visit form was provided.
The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during this visit. A license for 58 preschoolers, use of the additional rooms (Maple, Stone Pine and Multi-Purpose Rooms), and name changes to both the Corporation and Facility is recommended as of today's date 2/25/2021.

Exit interview conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2