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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700536
Report Date: 04/03/2024
Date Signed: 04/03/2024 08:56:08 AM


Document Has Been Signed on 04/03/2024 08:56 AM - 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 PEIXOTOFACILITY NUMBER:
015700536
ADMINISTRATOR:FAGUNDES, VIRGINIAFACILITY TYPE:
850
ADDRESS:29150 RUUS ROADTELEPHONE:
(510) 516-7378
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:67CENSUS: 15DATE:
04/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Nadine JacintoTIME COMPLETED:
09:15 AM
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On April 3, 2024, Licensing Program Analysts (LPAs) Elimika Woods conducted an unannounced Case Management Inspection which was initiated by the facility representative Nadine Jacinto. LPA met with the facility representative Nadine Jacinto and toured the facility for health and safety. Present for the inspection were 15 preschool age children and five additional staff members. The centers preschool playground was made off limits on 10/19/2023 and the facility representative has requested to go back to on-limits. This is a Title V Facility and the hours of operation are 7:00 AM-6:00 PM, Monday -Friday

LPA Woods inspected the preschool playground around 8:30 AM and checked the newly constructed play structure to see if it was anchored to the ground and stable. LPA also pushed and pulled at the play structure to see if any part of the structure would shift or move and the play structure did not. There's cushioning underneath the structure to absorb children falls and the yard is fully fenced.

The preschool playground is now back on limits for the children effective April 3, 2024.

There were no deficiencies cited during LPA's visit. Notice of site visit was given and exit interview was conducted with the facility representative Nadine Jacinto.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika WoodsTELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024
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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