434410589-9-7-2022-52-CC-KPHN-CJ33GB-20220907181405

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434410589
Report Date: 09/07/2022
Date Signed: 09/07/2022 06:14:18 PM

Document Has Been Signed on 09/07/2022 06:14 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:	KINDERPLEX @ THE WETLANDS		FACILITY NUMBER:	434410589
ADMINISTRATOR:	ALYSIA GONZALES		FACILITY TYPE:	850
ADDRESS:	3801 EAST BAYSHORE		TELEPHONE:	(650) 605-9500
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	62	CENSUS: 50	DATE:	09/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Shauna Taradash, Lily Schwartzman, and Katherine Kohlmann		TIME COMPLETED:	06:30 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	On September 7, 2022 approximately 9:30AM Licensing Program Analyst (LPA) Kelly Phan arrived for an unannounced Required-1 Year inspection, and met with preschool director Shauna Taradash, Lily Schwartzman (infant director), and Katherine Kohlmann (operations manager). There were 50 preschool aged children and 10 fingerprint cleared staff members present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 8:15am to 5:45pm. CLASSROOMS: The four (4) classrooms (Harvest Mouse, Red-Legged Frog, Studio, and Tiger Beetle) were inspected. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. There were labeled water bottles available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is the offices, away from other children in care. The center has smoke detectors, carbon monoxides, working telephone, and 7 fully charged 2A10BC fire extinguishers that is checked every year from City of Palo Alto and outside contractor of Google, Cushun Wakefield last checked was on 12/15/2021. BATHROOMS AND TOILETING AREAS: There is a bathroom in each classroom with working sinks and toilets; There was a toilet in the preschool side yard that is not operable. The children can reach the sinks and toilets. Supplies are available to the children. The staff's bathroom is separate from the children's bathroom. FOOD SERVICE AREAS: This facility provide AM and PM snacks for the children. There are weekly menus posted at the facility and lunch is provided by the center to children in care. All storage containers for solid waste have tight fitting covers that are in good repair. Food are properly labeled and in original containers; Menus are changed every 8 weeks. The facility has an outside contractor that delivers food. 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: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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: KINDERPLEX @ THE WETLANDS	FACILITY NUMBER: 434410589
	VISIT DATE: 09/07/2022

NARRATIVE

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OUTDOOR PLAY AREAS: There's a play structure in preschool yard that is fenced and separated from infant/toddler that has cushioning to absorb falls and that is anchored for stability. There's also a canopy that provides shade to children while at play. Sand area is cleaned every day by staff members and has a covering to prevent any hazardous and sharp items. There is also a faucet and bathroom or changing area for children. Landscaping will come once weekly to ensure it is safe for children to play.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Ten children's files were reviewed and found that there were 6 out of 10 children files that were missing immunizations. However, staff were able to show LPA the children's immunizations on their system; facility is not utilizing California Immunization form. LPA suggests facility to start documenting immunizations on CA blue immunization form. Ten staff files were also reviewed and found that there were incomplete CPR and First aid trainings, mandated reporter training, missing units, and immunizations needed. LPA reviewed the facility roster and personnel report and obtained copies. Mandated Reporter Training was discussed, and certificates were reviewed. Fire drills were last conducted on 08/09/2022 every 3 months, and on 08/03/2022 for earthquake every 6 months. Facility has waivers to allow electronic sign in/out by asking child's parent to scan their badges upon arrival at premises. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: There is an IMS being provided at this time and medication are being stored at the facility in each emergency disaster backpack with consent forms from child's parent. The center is equipped with a fully stocked first aid kit that is available in the classroom. Medications were reminded to have original containers with clear instructions.

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: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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: KINDERPLEX @ THE WETLANDS	FACILITY NUMBER: 434410589
	VISIT DATE: 09/07/2022

NARRATIVE

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There were no deficiencies cited for today's inspection. Appeal rights and a notice of site visit notice was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the facility directors, Shauna Taradash and Lily Schwartzman

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.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. The Facility is following and have developed 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.”

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Kelly Phan	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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: KINDERPLEX @ THE WETLANDS	FACILITY NUMBER: 434410589
	VISIT DATE: 09/07/2022

NARRATIVE

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Facility Representative was reminded that California Law requires licensed Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the Facility Representative that all forms can be downloaded at www.ccld.ca.gov and encouraged the Facility Representative to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The Facility Representative was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

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/process.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Kelly Phan	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC809 (FAS) - (06/04)

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