434415123-7-14-2022-52-CC-MOTI-CGBRTW-20220714131902

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415123
Report Date: 07/14/2022
Date Signed: 07/14/2022 01:19:20 PM

Document Has Been Signed on 07/14/2022 01:19 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:	BUILDING KIDZ OF MOUNTAIN VIEW		FACILITY NUMBER:	434415123
ADMINISTRATOR:	RAJESWARI SRIDHARA		FACILITY TYPE:	850
ADDRESS:	250 EAST DANA STREET		TELEPHONE:	(650) 967-8000
CITY:	MOUNTAIN VIEW	STATE: CA	ZIP CODE:	94041
CAPACITY:	134	CENSUS: 55	DATE:	07/14/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Rajeswari Sridhara		TIME COMPLETED:	09:22 AM

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	A Case Management Inspection was conducted on this date 7/14/2022 by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Director, Ebun Evien. The center has submitted an application for a DECREASE IN CAPACITY, and to remove Classrooms 7 & 8 from the license. The center will now be operating in 4 classrooms (Rooms 1, 2, 3 & 4). The hours of operation are Monday thru Friday 7am-6pm. There were 55 children and 8 additional staff members present. LPA toured the center classrooms, bathrooms and yard to conduct a health and safety inspection. LPA observed proper teacher-child ratio during the inspection. The following is the total overall measurements: INDOORS: 3386.75 square feet = 96 children OUTDOORS: 9119.37 square feet = 121 children A fire clearance from the City of Mountain View Fire Department was received on 6/14/2022. At least one staff member that opens and closes has current CPR/first aid certificates. All required forms are posted and visible for public review. The playground is fenced and equipment is in good condition. The play structures are anchored and has sufficient cushioning underneath to absorb a fall. LPA observed that drinking water is available both inside and outside by way of water pitchers and cups. All toilets and hand washing facilities are in safe and sanitary operating conditions. The center provides Breakfast/Lunch/PM snack. There is a sufficient supply of napping equipment for the number of children in care, and LPA observed that it is stored properly. The center is using an electronic sign in and out procedure. The center has at least one functioning carbon monoxide detector. LPAs did not observe any bodies of water, hazardous items or toxins accessible today.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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: BUILDING KIDZ OF MOUNTAIN VIEW	FACILITY NUMBER: 434415123
	VISIT DATE: 07/14/2022

NARRATIVE

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes 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.

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. A Notice of Site Visit form was provided, and needs to be posted for 30 days.

The center was found to be clean, safe, sanitary and in good repair. There are no deficiencies cited during this inspection.

A license for 96 preschool children will be issued effective today's date, 7/14/2022. Also on site are 78 infant aged children which includes the option to have up to 24 toddlers operating out of the infant component.

An exit interview was conducted with the Licensee.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

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