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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700512
Report Date: 01/30/2025
Date Signed: 01/30/2025 01:07:17 PM

Document Has Been Signed on 01/30/2025 01:07 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/
DIRECTOR:		KIRAN, GOWRIFACILITY TYPE:
850
ADDRESS:41811 BLACOW ROADTELEPHONE:
(510) 573-4871
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 105TOTAL ENROLLED CHILDREN: 105CENSUS: 64DATE:
01/30/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Gowri KiranTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
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On January 30th, 2025 at approximately 9:45am, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Annual Random inspection and met with Center director Gowri Kiran. Present during today's inspection were sixty-four (64) children (preschool and toddler age) and ten (10) fingerprint cleared staff personnel. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 7:00am to 6:30pm.

CLASSROOMS: Center has five (5) classrooms that were inspected by the LPA (Rooms 1-5). Room 1 is used for the centers Heritage School program. There are adequate play and learning materials available in each classroom. LPA visually inspected the floors, furniture, and equipment. LPA observed them to be in good repair, free of hazards or damage and age appropriate. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. 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 the Directors office which is away from other children in care. The center has smoke/carbon monoxide detectors, working telephone, and five (5) fully charged 3A40BC fire extinguishers throughout facility. The center is equipped with fully stocked first aid kits and backpacks that are available in all classrooms. LPA observed and Center Director confirmed that there are no pets, firearms or weapons located in the facility. LPA observed and Director confirmed that are no toxins, medicines, cleaning products or hazardous materials visible during today's inspection and were made inaccessible to children in care. At least one person trained in CPR/First aid is present at the facility when children are in care.

BATHROOMS AND DIAPER CHANGING AREAS: Children's bathrooms were inspected by LPA to be in sanitary condition. There is a changing station in Room 5 (toddlers) for use and was inspected by the LPA to be free of any visual damage or hazards. All sinks and faucets are in safe and sanitary operating condition. Children are able to reach the sinks and toilets without difficulty. Staff bathrooms are located in the hallway upon entry to the center and were also inspected by the LPA to be in sanitary condition.
See LIC 809C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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 3
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: 01/30/2025
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FOOD SERVICE AREAS: Facility provides am/pm snacks and lunch daily to children in care. There are menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair Facility has refrigerators which were clean and free of evidence of rodents, vermin or insects as observed by the LPA. Sink areas in each classroom were observed by the LPA to be neat and in sanitary condition. Supply cabinets are locked to prevent access to children in care.

OUTDOOR PLAY AREAS: There are two (2) play structures with slides and two (2) playhouses that have grass and foam cushioning to absorb falls and that are anchored for stability. There's also a canopy area that provides shade to children while at play. LPA observed and Center Director confirmed there are no pools, hot tubs, or any bodies of water present at the facility.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Eight (8) children's files and ten (10) 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 are current. The center is in compliance with the sign in and out procedure via Brightwheel. Disaster drills are being conducted every 6 months and the last one conducted was on 11/5/2024. All required documents are posted in a public accessible area.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.



See LIC809C continuance.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
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: 01/30/2025
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives
outlined in PIN 21-21.1-CCP. PIN 22-05-CCP.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.


A notice of site visit was given and must remain posted for 30 days. Report was read and reviewed with Center Director Gowri Kiran.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
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