015700607-6-20-2023-52-CC-JSAI-CSYRY7-20230620132553

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700607
Report Date: 06/20/2023
Date Signed: 06/20/2023 01:25:58 PM

Document Has Been Signed on 06/20/2023 01:25 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:	LITTLE HEARTS LEARNING CENTER DBA SAFARI KID		FACILITY NUMBER:	015700607
ADMINISTRATOR:	TULSI, GAGAN		FACILITY TYPE:	850
ADDRESS:	2500 POSITANO PARKWAY		TELEPHONE:	(925) 490-2222
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	165	CENSUS: 85	DATE:	06/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	director, Pooja Tiberwal		TIME COMPLETED:	01:45 PM

NARRATIVE

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Licensing Program Analyst (LPA), Jyoti Saini met with director, Pooja Tiberwal for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the staff. In addition to the director, there are 85 children and 11 staff present today. The facility operates Monday - Friday from 8:30 AM to 6:00PM out of the room number 1 through 7, AKS Terrific Tigers, Kool Kolas, Laughing lions, Happy Hippos. Growling bears, Playful Pandas, and jungle cubs classrooms. The licensee also holds a Heritage license. The Heritage program uses a separate room (Room #8) that is not licensed by Community Care Licensing (CCL). The licensee understands that the children enrolled in the Heritage program are not to be commingled with children enrolled in childcare licensed by CCL.The facility was inspected indoor and outdoor today for health and safety hazards and the following was observed.

There are no bodies of water, firearms, or weapons on the premises. The center is in good condition with proper temperature and ventilation and is free of any hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. The bathrooms have age-appropriate faucets and toilets in working condition. A first aid kit and a first aid backpack are available. The outdoor play area is fenced for supervision.The facility does not serve food except for in emergency situations. The children bring their own water bottles, and the facility refills them when needed. LPA reviewed storage of food and reminded facility representative that all food must be in original packaging or labeled with expiration date. Medications are stored on a high shelf which is inaccessible to children in care. LPA did not observe any dangerous items accessible today. The center also conducts and documents fire and earthquake drills once every 6 months and the logs show that drills were conducted on 5/26/2023.

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SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

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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Document Has Been Signed on 06/20/2023 01:25 PM - It Cannot Be Edited

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: LITTLE HEARTS LEARNING CENTER DBA SAFARI KID	FACILITY NUMBER: 015700607
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/20/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the facility representative did not comply with the section cited above in 3 out of 11 staff did not have proof of MMR which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/03/2023
	Plan of Correction
1 2 3 4	Facility representative shalll have staff provide proof of MMR. Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LITTLE HEARTS LEARNING CENTER DBA SAFARI KID	FACILITY NUMBER: 015700607
	VISIT DATE: 06/20/2023

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LPA reviewed sign-in and out sheet. The center has a complete record of sign-in/out sheets by an authorized pick-up person. There is a working fire alarm system in the facility. The Facility has a working smoke and a fully charged fire extinguisher, and a working telephone available. All the Children records reviewed were complete. All children have a record of emergency identification information on file. All staff has a criminal record clearance on file. The opening and closing staff have a current Pediatric First Aid/CPR certificate on file. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site always or present during off-site activities (field trips). Facility roster was reviewed, and copy was obtained.

During inspection,

Director was reminded that all adults 18 and over, 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.

Incidental Medical Services (IMS) policy was discussed. This facility does provide IMS (Incidental Medical Services) to children currently. If any IMS is provided, a Plan for Providing 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

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

The attached Type B deficiency was cited and three technical violations were given.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Pooja Tibrewal.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

LIC809 (FAS) - (06/04)

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