434410590-9-7-2022-52-CC-KPHN-CJ33FM-20220907181258

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434410590
Report Date: 09/07/2022
Date Signed: 09/07/2022 06:13:14 PM

Document Has Been Signed on 09/07/2022 06:13 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:	434410590
ADMINISTRATOR:	SUBRAMANIAM, LATHA		FACILITY TYPE:	830
ADDRESS:	3801 EAST BAYSHORE		TELEPHONE:	(650) 605-9500
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	36	CENSUS: 24	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 at 9:30AM Licensing Program Analyst (LPA) Kelly Phan conducted an UNANNOUNCED ANNUAL REQUIRED INSPECTION. LPA met with preschool director Shauna Taradash, Lily Schwartzman (infant director), and Katherine Kohlmann (operations manager), also present at the time of this inspection were 10 fingerprinted and associated staff members and 24 infant/toddlers. The facility is within ratio and capacity compliance today. The facility was toured to conduct a Health and Safety Inspection. This program current operates Monday-Friday 8:30am-6:00pm out of 2 Infant classrooms and 2 toddler classrooms (Song Sparrow, Mourning Dove, Starry Flounder, and Snowy Plover). All 4 classrooms were inspected for age appropriate furnishings, equipment, and adequate storage for children’s belongings. LPA observed the cleanliness of floors and surfaces, the presence of working carbon monoxide detector, smoke detectors/fire alarms and a fully charged fire extinguishers size 2A10BC that is accessible throughout the facility along with working telephone. The changing tables are within arm’s reach of the sink. Facility is utilizing sleeping mats for children and are sanitized daily; bedding and blankets are given to child's parent to clean daily as well. Facility is also using sleep logs every 15 minutes; LPA suggests additional space in the sleep logs to document any usual observations and child's sleeping position. The outdoor play area is fully fenced. LPA observed the play structures to be fully intact with no visual defects or concerns. There are no pools, hot tubs or other accessible bodies of water. Per director, there are no firearms present on the premises. Cleaning supplies/toxins are stored inaccessible to children during the inspection and all required postings are present. The facility serves morning snack, lunch and afternoon snack, menu is also posted along with an allergy list. LPA reviewed storage of food and bottles and reminded director that all bottles must be labeled with expiration date and child's name. The center also conducts and documents fire and earthquake drills once every 3-6 months, last conducted on 08/03/2022 and 08/09/2022. 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: 434410590
	VISIT DATE: 09/07/2022

NARRATIVE

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A copy of the facility personnel roster and children’s roster were available for review and copies was obtained. LPA reviewed the file of 10 children enrolled in the program and 10 staff members files. They had proof of education and/or experience was also present. 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. Each classroom has fully stocked first aid supplies and medications are stored inaccessible to children. Medications have proper documentation and training in place.

There were 1 deficiency cited during this inspection: Type B - Acting infant director did not have proper administration unit to qualify as a fully qualified director. SEE LIC 809D.

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, Lily Schwartzman and Shauna Taradash

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.

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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Document Has Been Signed on 09/07/2022 06:13 PM - It Cannot Be Edited

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: 434410590
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/07/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101415.1(b)(1)

Assistant Infant Care Center Director Qualifications and Duties

(b) The assistant infant care center director shall meet the following qualifications: (1) Be a fully qualified infant care teacher. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above acting infant director does not have any adminsteration unit, updated mandated reporter training, and updated CPR and first aid training, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/30/2022
	Plan of Correction
1 2 3 4	Director will communicate with LPA on what her options are to become a fully qualified director and send required documentations on or by September 30, 2022

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

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 appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: 434410590
	VISIT DATE: 09/07/2022

NARRATIVE

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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.”

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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