434415246-10-14-2021-52-CC-MOTI-C7SU52-20211014151603

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415246
Report Date: 10/14/2021
Date Signed: 10/14/2021 03:16:09 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:	ODYSSEY PRESCHOOL INC		FACILITY NUMBER:	434415246
ADMINISTRATOR:	RATNA SANJAY		FACILITY TYPE:	850
ADDRESS:	100 ADDISON AVENUE		TELEPHONE:	(650) 678-1842
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94301
CAPACITY:	50	CENSUS: 41	DATE:	10/14/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Ratna Sanjay		TIME COMPLETED:	03:40 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) Melanie Otsuji conducted the unannounced Case Management - Licensee initiated inspection on today's date, 10/14/2021. LPA was met by Applicant, Ratna Sanjay. The center has submitted an application for a CAPACITY INCREASE. Facility is currently requesting to increase from 50 preschoolers to 73 preschoolers which includes the option to have 12 toddlers (aged 18 months - 36 months of age) in the toddler option program. Present during today's visit were 41 napping preschool aged children and 7 staff members. A health and safety inspection was conducted inside and outside. Facility days and hours of operation are Monday through Friday 7:30AM - 6:30PM. The facility was measured on a previous visit and is as follows: INDOORS: 2680.74 SQUARE FEET = 76 CHILDREN OUTDOORS: 1889.97 SQUARE FEET = 25 CHILDREN The center has obtained an approved fire clearance from Palo Alto Fire Department on 8/25/2021 for 73 children. Odyssey Preschool Inc will have three approved classrooms (Classroom 1, Classroom 2 and Toddler Classroom). Facility will also have 1 play yard available for preschoolers. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 5 toilets, and 5 sinks available for children use. The staff have a separate bathroom in which will also serve as an isolation bathroom.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

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: ODYSSEY PRESCHOOL INC	FACILITY NUMBER: 434415246
	VISIT DATE: 10/14/2021

NARRATIVE

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Disinfectant's and other items which pose a hazard to children are kept inaccessible. Furniture and equipment are kept in good conditions, free of sharp, loose or pointed parts. All toilets and hand washing facilities are in safe and sanitary operating conditions. Uncontaminated drinking water is available both indoors and outdoors. Facility has at least one carbon monoxide, smoke detector and fire extinguisher in operable condition.

All licensing required documents are posted. Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted. The center was found to be clean, safe, sanitary and in good repair. There were no deficiencies cited during this visit.

A license for 73 preschool aged children (operating in classrooms 1 and 2) which includes the option to have up to 12 toddlers (ages 18 months - 36 months of age) in the toddler option room will be issued pending management approval of play yard waiver request.

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: 10/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

LIC809 (FAS) - (06/04)

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