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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700512
Report Date: 10/06/2022
Date Signed: 10/06/2022 02:29:44 PM

Document Has Been Signed on 10/06/2022 02:29 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:SAFARI KID - IRVINGTONFACILITY NUMBER:
015700512
ADMINISTRATOR:KIRAN, GOWRIFACILITY TYPE:
850
ADDRESS:41811 BLACOW ROADTELEPHONE:
(510) 573-4871
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 105TOTAL ENROLLED CHILDREN: 105CENSUS: 62DATE:
10/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Meenal MehtaTIME COMPLETED:
02:30 PM
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On October 6th, 2022, Licensing Program Analyst (LPA) April Wright arrived at 10:05am for an unannounced Required-1 Year inspection, and met with Director Meenal Mehta. There were 62 children and 8 fingerprint cleared staff members present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 7:30am to 6:00pm.

CLASSROOMS: The four (4) classrooms were inspected (Rooms 2-5). There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is Room 1 (not in use in am) Room 2 (in pm) , away from other children in care. The center has smoke/carbon monoxide detectors, working telephone, and five (5) fully charged 3A40BC fire extinguishers in the facility. The center is equipped with fully stocked first aid kits and backpacks that is available in all classrooms.

BATHROOMS AND TOILETING AREAS: The staff's bathroom is separate from the children's bathroom. All sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. Supplies are available to the children.

FOOD SERVICE: This facility provides morning and afternoon snack, as well as lunch for children in care. There are monthly menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair.

OUTDOOR PLAY AREAS: There's a play structure with a slide that has cushioning to absorb falls that is anchored for stability. Facility also age appropriate outside toys that are in good condition.

See LIC 809-C
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2022
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SAFARI KID - IRVINGTON
FACILITY NUMBER: 015700512
VISIT DATE: 10/06/2022
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RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Ten (10) children's files and nine (9) staff files including directors file were reviewed. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. Mandated Reporter Training and CPR/First Aid certificates were reviewed and up to date. S2 and S9 have not completed or expired Mandated Reporter training. The center is in compliance with the sign in and out procedure via SPLAN. Disaster drills are being conducted every 6 months and the last one conducted was on 5/4/2022. All required documents are posted in a public accessible area.

Director 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.

Incidental Medical Services (IMS) policy was discussed. IMS is provided at this facility. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

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/inspection-process .

No deficiencies are cited during today's inspection.

Please see list below and attached LIC9102 advisory notes for additional information about technical violations issued today:

  • Technical Violation: S2 - S9 have not completed/expired Mandated Reporter training.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative Director Meenal Mehta.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC809 (FAS) - (06/04)
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