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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419429
Report Date: 09/10/2024
Date Signed: 09/10/2024 12:52:57 PM


Document Has Been Signed on 09/10/2024 12:52 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:KIDANGO LOGANFACILITY NUMBER:
013419429
ADMINISTRATOR:AYAR, MARIAFACILITY TYPE:
850
ADDRESS:33821 SYRACUSE AVE.TELEPHONE:
(510) 324-1208
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:52CENSUS: 38DATE:
09/10/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Debra Cosio- TeacherTIME COMPLETED:
01:05 PM
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On 9/10/24, Licensing Program Analyst (LPA) Briana Plumboy met with Teacher Debra Cosio for an unannounced random inspection. The center and playground were toured to conduct a Health and Safety inspection. Present for the inspection was 7 staff as well as 38 preschool age children. The facility currently operates Monday through Friday from 7:00am until 6:00pm.
The center consists of 2 rooms, which are safe, clean and in good repair during today's inspection. There is adequate storage for children's belongings. There is furniture, toys and activities, which are age appropriate and in good condition. The heating and lighting is adequate during today's inspection. There is drinking water readily available to children during today's inspection. There are combined bathrooms for boys and girls usage located in both classrooms. All toilets flush properly, and there is running water, soap, and paper towels available for children to wash and dry their hands. There is a separate bathroom for staff with running water, soap, and paper towels. There are no bodies of water, or free standing water, accessible to children during today's inspection. The food preparation area is clean, free from hazards and adequately equipped. There is a menu posted in both classrooms, and there are no cleaning supplies stored with food. The center provides breakfast, lunch, and pm snack. There are mats and sheets available for children's use, and they are stored properly. Each child's bedding is stored in an individual cubby. The playground has safe and age appropriate equipment. All required documents are posted for public review. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least once every 6 months, and the log indicates the last one done was on 7/12/24. The center is equipped with a fully stocked first aid Kit, working telephone, (2) carbon monoxide detectors, pull down fire alarm and (2) 3A40BC fire extinguishers. The center is providing 1% milk to children in care.
All staff have been fingerprint cleared and associated to this center. All staff have provided proof of immunization against pertussis and measles, and influenza or provided a note declining the influenza immunization. At least one opening/closing staff member has a current CPR/First Aid certificate. All staff have taken the mandated reporter training and received certificates of completion.
See 809-C for continuance
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:
DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: KIDANGO LOGAN
FACILITY NUMBER: 013419429
VISIT DATE: 09/10/2024
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All required forms are posted. Lic. 500 is posted in each classroom. This facility does provide incidental medical services (IMS) to the children. LPA reminded teacher D. Cosio to have all prescribed and non-prescribed medications to have original containers with unaltered labels. The center has LIC 9221 (Parent Consent for Administrating Medications form) on file for each child.

Incidental Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. The facility is following and have developed IMS plan on file. When any changes to the IMS plan is made, an updated Plan for Providing 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.”



Teacher D.Cosio 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 licensed facility. A civil penalty of $100.00 minimum/day up to $3000.00 maximum per day/per person will be assessed if this regulation is violated.

Teacher D.Cosio was reminded that California Law requires licensed Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail.



LPA informed the Facility Representative that all forms can be downloaded at www.ccld.ca.gov and encouraged the Facility Representative to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. Facility representative was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Facility Representative is reminded any structural changes to the center or additions to the child care facility must be reported to Community Care Licensing. Facility Representative was reminded of Departments inspection authority, with our without any notice.


See 809-D for deficiency cited during today's inspection. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 09/10/2024 12:52 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: KIDANGO LOGAN

FACILITY NUMBER: 013419429

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(f)(1)


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview/ record review, the licensee did not comply with the section cited above due to the center Director has been out on leave since June 2024, and a teacher has been acting in her place which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/20/2024
Plan of Correction
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On or before 9/20/24, the teacher currently acting in place of the Director must apply for an exception with the department (CCLD) or Kidango must arrange a fully qualified Director to act as a substitute Director until the permanent Director returns. The appointed Director and Director file must be submitted to LPA Plumboy no later than 9/20/24.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:
DATE: 09/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4