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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415072
Report Date: 01/17/2020
Date Signed: 01/17/2020 03:03:14 PM

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:KIDS CHOICE AFTER SCHOOL CAREFACILITY NUMBER:
434415072
ADMINISTRATOR:LORENE SCATENAFACILITY TYPE:
840
ADDRESS:1711 STANFORD AVENUETELEPHONE:
(650) 656-8170
CITY:STANFORDSTATE: CAZIP CODE:
94305
CAPACITY:75CENSUS: 41DATE:
01/17/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Lorene ScatenaTIME COMPLETED:
03:20 PM
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Licensing Program Analysts (LPAs) Julia Placencia and Junell Chen arrived unannounced for a POC (Plan of Correction) visit, and met with director Lorene Scatena. Present were 41 children and an additional 4 staff members.
  • On 1/8/20, Section 101161(a) was cited for the facility being over capacity as there were 78 children present. Facility capacity limit is 75 children. Today there are 41 children present.
  • On 1/8/20, Section 101516.5(b) was cited for the facility being out of ratio, as there were 34 children with the director and one teacher in portable #1; and there were 44 children with one teacher and two aides in portable #2. Today there are 20 children with the director and an aide in portable #1; and 21 children with two teachers and an aide in portable #2.

The deficiencies are cleared today. Letter of Deficiency Citations Cleared was provided to director.

Exit interview conducted with Lorene Scatena. Copy of report and notice of site visit provided.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
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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