434414162-2-13-2020-07-CC-MMOO-BLRW3M-20200213155609

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434414162
Report Date: 02/13/2020
Date Signed: 02/13/2020 03:56:16 PM

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:	SAFARI KID		FACILITY NUMBER:	434414162
ADMINISTRATOR:	MUDDEEREGOWDA, RASHMI		FACILITY TYPE:	850
ADDRESS:	20100 STEVENS CREEK BLVD		TELEPHONE:	(408) 253-3712
CITY:	CUPERTINO	STATE: CA	ZIP CODE:	95014
CAPACITY:	96	CENSUS: 47	DATE:	02/13/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:47 PM
MET WITH:	Rashmi Muddeeregowda		TIME COMPLETED:	04:10 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	Licensing Program Analyst (LPA), Marilou Monico, met with Site Director, Rashmi Muddeeregowda, for an unannounced 1 Year Required inspection. The preschool program's days and hours of operation are Monday to Friday from 8:30 AM to 6:00 PM. LPA observed all the required posted materials: license, Notification of Parents' Rights, Emergency Disaster Plan, Personal Rights, and Child Passenger Safety Law. LPA inspected the building both indoor and outdoor. LPA observed that the facility was operating in compliance with teacher to children ratio requirement. Children were engaged in activities under the supervision of the teachers. LPA observed trash cans with tight fitting covers throughout the facility for the disposal of solid waste. Drinking water indoor is via individual water bottles. Cleaning products, sharps objects, and other similar items were stored inaccessible to children. There was functioning carbon monoxide detector and smoke detectors at the facility. LPA did not observe any bodies of water. LPA reviewed 10 random children's files and eight staff files. Two Evaluation of Teacher Qualifications were completed. Site Director has current CPR/First Aid certification with an expiration date of November 23, 2021. Per Site Director, there were no weapons on the premises. The facility utilizes an electronic sign in/out for parents to sign in/out their children. LPA obtained copy of children's roster. Restrooms for children to use were observed to be clean and in operating conditions. Outdoor activity areas are enclosed by fencing. Shade is provided by trees and patio. The areas around climbing equipment have rubber foam as resilient material. Drinking water was readily available to children outdoor via individual water bottles. Parents provide morning and afternoon snack and children's lunch is catered from Kidsmealz. Sanitation is by hand washing. LPA discussed with Site Director Senate Bill 792, Assembly Bill (AB) 1207 (Mandated Child Abuse Reporter Training) which is required training that began on January 1, 2018 and requires renewal every two years and AB 633. Mandated Reported Training can be accessed at www.mandatedreporterca.com. (REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 02/13/2020):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

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: SAFARI KID	FACILITY NUMBER: 434414162
	VISIT DATE: 02/13/2020

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 02/13/2020):

LPA reviewed with Site Director the violations that would result in an immediate assessment of civil penalty in the amount of $500. Site Director are encouraged to visit the Department’s website at www.cdss.ca.gov [Shortcut: www.ccld.ca.gov] to access resources for Providers, Regulations, Adoptions of new laws, pay annual fees etc.

Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPA reviewed and provided a copy of the “Lead Poisoning Facts Information Flyer." Provider Notice Information (PIN) summary for Child Care Center lead testing of drinking water and back up generator safety requirements were provided.

Staff present during the inspection have cleared criminal record and child abuse index clearances or exemptions. LPA also reminded Site Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

Incidental Medical Services(IMS) Plan to include blood glucose monitoring to be sent on to Licensing by February 27, 2020.

As a result of this inspection, deficiency was cited on the next page.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: SAFARI KID	FACILITY NUMBER: 434414162
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/13/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/27/2020 Section Cited	1 2 3 4 5 6 7	MANDATED REPORTER TRAINING. [...] a person who, on January 1, 2018, is a licensed child care provider [...] shall complete the mandated reporter training provided [...] and shall complete renewal mandated reporter training every two years [...]. This requirement is not met as evidenced by:
	8 9 10 11 12 13 14	Per LPA's review of record, staff Krishna Mangina has expired training and staff Sangeeta Kumari has not completed the Mandated Reporter Training for Child Care Providers. This poses a potential risk to health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

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