<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700581
Report Date: 07/28/2022
Date Signed: 08/10/2022 09:15:42 AM

Document Has Been Signed on 08/10/2022 09:15 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDANGO LORENZO MANORFACILITY NUMBER:
015700581
ADMINISTRATOR:BANFAL, SABEETAFACILITY TYPE:
850
ADDRESS:18250 BENGAL AVENUETELEPHONE:
(510) 509-1716
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
07/28/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Margarita TIME COMPLETED:
03:35 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
A Prelicensing Visit was conducted today 07/28/2022 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA was met by Program Compliance Manager, Margarita Saucedo, and Program Compliance Assistant Manager, Yesenia Alvarez. This is a TITLE V facility. Facility days and hours of operation are Monday through Friday 7:00AM - 6:00PM. A health and safety inspection was conducted inside and outside and the measurements are as follows:

INDOORS: 966.08 square feet = 27 children
OUTDOORS: 9444.14 square feet = 125 children

The preschool room is equipped with varied age appropriate materials and equipment. There are 2 toilets, 3 sinks available for children. Isolation area for children who fall ill while in care will be the Director's desk and an isolation bathroom located in the play yard. Food is brought in on a daily basis from Kidango's Nutrition Department. There are 2 play yards. Kinder playground is fenced in all around. Canopies and trees provide sufficient shade. The center has jugs and cups, as well as water bottles for indoor and outdoor activities. No cleaning agents were found stored with food. First aid supplies are available in the center. There is a working telephone on site. Carbon monoxide detector is available.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KIDANGO LORENZO MANOR
FACILITY NUMBER: 015700581
VISIT DATE: 07/28/2022
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
Sabeeta Banfal is a fully-qualified preschool director and has completed 16 hours of health and safety training including pediatric CPR and First Aid.

LPA discussed the safe sleep regulations with Applicants and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Applicants of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed with Applicants the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A license for 24 preschool aged children will be issued effective today, 7/28/2022.



An exit interview was conducted with Program Compliance Manager, Margarita Saucedo, and Program Compliance Assistant Manager, Yesenia Alvarez.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2