434415072-8-6-2021-52-CC-MOTI-C5N26J-20210806170712

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415072
Report Date: 08/06/2021
Date Signed: 08/06/2021 05:07:18 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 CARE		FACILITY NUMBER:	434415072
ADMINISTRATOR:	LORENE SCATENA		FACILITY TYPE:	840
ADDRESS:	1711 STANFORD AVENUE		TELEPHONE:	(650) 656-8170
CITY:	STANFORD	STATE: CA	ZIP CODE:	94305
CAPACITY:	75	CENSUS: 26	DATE:	08/06/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:50 PM
MET WITH:	Lorene Scatena		TIME COMPLETED:	05:27 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	(1) On 8/6/2021, Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct a CAPACITY INCREASE/ROOM ADDITION AND REQUIRED 1 YEAR INSPECTION. LPA was met by Director, Lorene Scatena. Present during today's visit were 4 staff members and 26 school aged children. LPA conducted a health and safety inspection of the facility. Facility resides on LUCIELLE M. NIXON Elementary School Campus. An application was submitted for a Change of Capacity and Addition of a Room. The center has requested to increase from 75 to 98 school aged children and adding Room 3/A-2. The program is utilizing 2 portables on school grounds as well as the Room 3/A2. Hours of operation are from MTTh 2:30PM-6PM, WF 1:15PM-6PM. The facility is exempt from measuring, bathroom, and isolation requirements. INDOORS: EXEMPT OUTDOORS: EXEMPT Facility utilizes Nixon Elementary playground, blacktop and field for outdoor space. Facility understands not to commingle with Elementary School children. Drinking water is available inside and outside by way of water fountains and bottles brought from home. Menus are posted. A sample of the sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector. All licensing required documents are posted. There are no pools, spas or other bodies of water accessible to children in care. Disinfectants and other dangerous items are kept inaccessible. Furniture and equipment were observed to be in good condition, free of sharp, loose, or pointed parts. Playground equipment was observed to be in good repair and free of hazards. Areas under high climbing equipment are cushioned with material that absorbs a fall. Toilets, hand washing stations are kept in safe and sanitary operating conditions. Food prep areas were kept clean, free of litter and rubbish. Storage containers for solid waste have tight-fitting covers that are kept on and in good repair. Fire/Evacuation Drill is documented and conducted at least once every six months with the last drill conducted on 08/16/2021. Facility utilizes the Room 2 office and staff bathroom for isolation should a child fall ill while in care. LPA reviewed 4 children files and 3 staff files.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021

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: KIDS CHOICE AFTER SCHOOL CARE	FACILITY NUMBER: 434415072
	VISIT DATE: 08/06/2021

NARRATIVE

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Openers/Closers have current Pediatric CPR/First Aid. This facility plans to provide Individual Medical Services – IMS. An updated Plan of Operation that includes IMS must be submitted to the Department when any changes are made. 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.

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.
The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during today's visit. A license for 98 school age children and approval of the use of the Room 3/A2, will be issued upon receipt of fire clearance.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021

LIC809 (FAS) - (06/04)

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