013421999-4-22-2022-02-CC-CFES-CDQU9N-20220422152326

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421999
Report Date: 04/22/2022
Date Signed: 04/22/2022 03:23:37 PM

Document Has Been Signed on 04/22/2022 03:23 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	KIDS N DANCE N THEATER ARTS ASP		FACILITY NUMBER:	013421999
ADMINISTRATOR:	CAMMARATA, MARIELLE		FACILITY TYPE:	840
ADDRESS:	3840 MACARTHUR BLVD		TELEPHONE:	(510) 531-4400
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 42	CENSUS: 0	DATE:	04/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Marielle Cammarata		TIME COMPLETED:	03:30 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	On 4/22/22 at 1:00PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced on a required annual inspection and met with owner/Director Marielle Cammarata. No children were in care during the inspection. One additional finger print cleared staff member later arrived. The center and playground were inspected to conduct a health and safety check. The program is located in the same building as a dance school and the entrance to the after school program is on Patterson avenue. Facility staff provide transportation for children in care. Director Cammarata has current commercial driver's license with passenger endorsement. The center operates Monday through Friday 3:00PM to 6:00PM and on Wednesdays at 1:30PM to 6:00PM. The center is equipped with age appropriate materials and equipment. Furnishings and play items are free of hazardous conditions. There are no cleaning items/toxins or poisonous items observed to be accessible to children. All required postings are present. The school-age program has an outdoor play area as well as a gym downstairs, being used as a "gross motor" area. A waiver has been granted to allow no more than 15 children at a time between the outdoor play area and the downstairs gym. The outdoor play area is fenced in all around and climbing structures are sufficiently cushioned. There is shade available for the children in the play yard. There are 2 sinks and 2 toilets available for children and both provide privacy. The staff have a separate bathroom located downstairs. The isolation area for sick children to rest is on the couch in the lounge room. The facility serves snacks and there is a microwave and refrigerator available. There is menu is available and posted. Drinking water is available in the classrooms, as well as the gross motor room. The center has first aid supplies available and a working phone. The center staff have been filling out the sign in/out sheet for parents due to COVID. The carbon monoxide detector was located on the second floor, there are two 3-A-40-BC fire extinguishers available one upstairs and one downstairs. The center's fire system is hard wired. There is one opening and closing staff member available that have a current CPR and First Aid certificate. There are no pools, hot tubs or other accessible bodies of water. Per director, there are no firearms present on the premises. See 809c.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDS N DANCE N THEATER ARTS ASP	FACILITY NUMBER: 013421999
	VISIT DATE: 04/22/2022

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
26
27
28
29
30
31
32

LPA Fernandes reviewed 10 children's files and all staff records. All current staff have mandated reporter training. As of today no IMS is being provided. At the end of the inspection 15 children arrived with two staff members.

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.

The center 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.

No citations were given during todays inspections.

Please submit the following forms to Licensing:
- LIC500 Personnel Report
- Updated handbook

A notice of site visit was given and must remain posted for 30 days
Exit interview conducted and report was reviewed with staff McNeil
Report and Appeal Rights Provided.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2