434415211-8-31-2022-07-CC-SCOS-CHTUGE-20220831153413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415211
Report Date: 08/31/2022
Date Signed: 08/31/2022 03:34:25 PM

Document Has Been Signed on 08/31/2022 03:34 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	KIDANGO ARBUCKLE		FACILITY NUMBER:	434415211
ADMINISTRATOR:	LINDSAY MASUDA		FACILITY TYPE:	830
ADDRESS:	1910 CINDERELLA LN, RM 165&166		TELEPHONE:	4089058985
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95116
CAPACITY:	32	CENSUS: 15	DATE:	08/31/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Lindsay Masudea & Jennifer Oparowski		TIME COMPLETED:	03:45 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), Stephanie Collins and Licensing Program Manager (LPM) Gladys Kuizon, met with Lindsay Masuda preschool director, for an unannounced annual inspection. The Infant/Toddler programs are licensed in Rooms 165 and 166. The facility also has a licensed Preschool program (#434406751)on the same campus. Hours of operation: 7 AM to 6:00 PM. There were 8 children in room # 165 with (4) four staff supervising and 7 children in room # 166 and 2 staff supervising a total of 15 children and (6) six staff. LPA toured all rooms and outdoor space of the facility during today's inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus, and Activity Schedule. LPA reviewed 10 percent of the children's and staff files during today's inspection. Each child's file reviewed contains the Information and Emergency Information form (LIC 700) and current immunization records. Staff files reviewed contain the required transcripts/verification of experience/proof of current enrollment (when applicable) and required vaccination records. All preschool staff have completed the required Mandated Reporter Training for Child Care Workers and Preventive Health & Safety Training for Director. There is at least one staff in each room with valid CPR & First Aid certifications on file. Lindsay Masuda understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). LPA observed that the teacher/child ratio within the facility was in compliance during today's inspection. All preschool children in attendance were signed in on the electronic sign in/sign out system utilized by the Facility. Lindsay Masuda understands the conditions, limitations, and capacity specifications of the facility license. Lindsay Masuda understands that all children shall be visually supervised at all times and never left unattended.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KIDANGO ARBUCKLE	FACILITY NUMBER: 434415211
	VISIT DATE: 08/31/2022

NARRATIVE

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LPA observed that all rooms are clean and safe for all children and staff. The facility uses a third-party cleaning service that cleans the facility after hours Monday to Friday. The facility has central heating/air throughout the facility. Drinking water is readily available for the children in each room and in the outdoor playground areas via drinking pitchers, and water faucets/dispensers/disposable cups. LPA observed solid waste container with tight-fitting lids in each room. The staff bathrooms are clean, sanitary, and operable. There are separate staff bathrooms not utilized by the children which an isolated child can use if needed. Lindsay Masuda states that there are no weapons or firearms on the premises. There are functioning carbon monoxide detectors throughout the facility and fully charged fire extinguisher.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers. Cleaning supplies are inaccessible to the children and stored on upper shelves or locked janitorial closet.

LPA observed that all furniture and equipment is in good condition and safe for the children. The changing tables have vinyl changing pads that are at least 1 inch thick. Napping equipment (cots) is appropriate. Sufficient shade is available in outdoor play area. The playground areas utilized by the children is surrounded by fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate and in good condition. There are sufficient resilient materials (rubber surfacing) in the outdoor playground area. LPA did not observe any bodies of water during today's inspection.

Director Lindsay Masuda 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.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KIDANGO ARBUCKLE	FACILITY NUMBER: 434415211
	VISIT DATE: 08/31/2022

NARRATIVE

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LPA discussed the safe sleep regulations with licensee Lindsay Masuda 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 director Lindsay Masuda 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

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Director Masuda

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

No deficiencies issued during today's inspection.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC809 (FAS) - (06/04)

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