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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700591
Report Date: 02/09/2023
Date Signed: 02/09/2023 02:46:27 PM

Document Has Been Signed on 02/09/2023 02:46 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SAFARI KID - HAYWARDFACILITY NUMBER:
015700591
ADMINISTRATOR:RATHI, SEEMAFACILITY TYPE:
850
ADDRESS:26236 ADRIAN AVENUETELEPHONE:
(510) 364-9651
CITY:HAYWARDSTATE: CAZIP CODE:
94545
CAPACITY: 101TOTAL ENROLLED CHILDREN: 101CENSUS: 19DATE:
02/09/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Seema RathiTIME COMPLETED:
03:05 PM
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A Prelicensing inspection was conducted today 02/09/2023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant, Seema Rathi. The applicant has submitted a CHANGE IN OWNERSHIP application for a PRESCHOOL license for 101 preschoolers with the option to have 24 of those be enrolled into the toddler-option (18 months-36 months program). The program will operate from 7:30AM - 6PM, Monday through Friday, in 6 classrooms (Classrooms Purple, Green, Orange, Blue, Yellow and Peach). Present during today's visit were 8 additional staff members and 19 napping children. A health and safety inspection was conducted inside and outside. Measurements were taken by a previous LPA and per Licensee, no changes have been made. Measurements are as follows:

INDOORS: 3916.92 square feet = 111 children
OUTDOORS: 5400.27 square feet = 72 children

The center has obtained an approved fire inspection clearance from the Hayward Fire Department on 12/21/2022.

Building is located on the grounds of New Bridges Presbyterian Church. The facility consists of two buildings with a total of 6 classrooms. The Blue, Orange, Yellow and Peach classrooms are for preschool aged children and Green and Purple classrooms allow enough space for 24 toddlers in the toddler-option program. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 9 toilets and 8 sinks available for children use. Staff toilet is located on the premises. Children will bring AM/PM snacks and lunch from home. Facility will have a back up supply should a child forget. Menu will be posted at least one week in advance in a place visible for the authorized representative to see. Facility will have the Director's office and staff bathroom serve as isolation areas for ill children. Cots and mats were observed today.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SAFARI KID - HAYWARD
FACILITY NUMBER: 015700591
VISIT DATE: 02/09/2023
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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. 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

The play yard is fenced in all around. Building overhang and trees provide sufficient shade in the play yard. Children will bring their water bottles from home and the facility will refill as necessary. Water fountain on the play yard could be used while children are outside. No cleaning agents were found stored with food. There is a refrigerator available. First aid supplies are available in the center. There is a working telephone on site. Facility will utilize an electronic sign in/out software that has a separate PIN/login for each authorized representative. Paper sign in/out sheets will be utilized should the electronic software be unavailable.

Heena Bhatia is a fully qualified preschool director and has completed 16 hours of health and safety training including pediatric CPR and First Aid. Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with applicant 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 applicant 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.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SAFARI KID - HAYWARD
FACILITY NUMBER: 015700591
VISIT DATE: 02/09/2023
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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 101 preschool children, which includes up to 24 toddlers in the toddler-option program, will be issued effective today 2/9/2023. Yard waiver to be posted with license upon receipt.



Exit interview conducted with Applicant, Seema Rathi.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023
LIC809 (FAS) - (06/04)
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