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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700536
Report Date: 11/13/2024
Date Signed: 11/13/2024 09:39:50 AM

Document Has Been Signed on 11/13/2024 09:39 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/
DIRECTOR:
FAGUNDES, VIRGINIAFACILITY TYPE:
850
ADDRESS:29150 RUUS ROADTELEPHONE:
(510) 516-7378
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 25DATE:
11/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Nadine Jacint0TIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On November 13, 2024 at 8:15 AM., Licensing Program Analyst (LPA) Elimika Woods met with facility representative, Nadine Jacinto for the purpose of an Unannounced Case Management Visit. The facility self reported an unusually incident to licensing on October 29, 2024, and a copy of the Unusual Incident Report (UIR) was reviewed by LPA Woods. Present during today's inspection were 25 children and eight additional staff members. The purpose of the visit was to follow up on an unusual incident reports received and submitted by the facility regarding a child being hit by a teacher.

On October 29, 2024, the facility representative reported an Unusual Incident to the Regional Office (RO). The summary of the unusual incident is as follows: On 10/29/24 the director was approached by the father of C1 and told that his child was hit on the head by S1. The representative told the father she would be in contact with him and the mom about the incident and called her supervisor to advised her of what was said. The facility representative called the parents back to get more information and HR conducted an investigation into the allegation.



Based on interviews with the parents and staff the center's investigation determined that there was no evidence that a child was hit by a staff member. The facility representative also stated since S1 was a substitute support teacher she was partnered with a fully qualified teacher and would not have been left alone with a child.

There are no deficiencies being cited today. 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 and report was reviewed with facility representative Nadine Jacinto.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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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