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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405620
Report Date: 12/20/2022
Date Signed: 12/20/2022 03:17:11 PM

Document Has Been Signed on 12/20/2022 03:17 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDZ-PLANET, INCFACILITY NUMBER:
073405620
ADMINISTRATOR:IRINA GRINSHPANFACILITY TYPE:
850
ADDRESS:2245 MORELLO AVE. STE. CTELEPHONE:
(925) 457-9411
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 99TOTAL ENROLLED CHILDREN: 99CENSUS: 88DATE:
12/20/2022
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:23 PM
MET WITH:Emily ShoopTIME COMPLETED:
03:30 PM
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On 12/20/22 at 1:23pm, Licensing Program Analyst (LPA) Catherine Fernandes met with Assistant Director Emily Shoop for an Unannounced Case Management Inspection. This inspection is a continuation of the previous inspection dated 9/29/22. There were 88 preschool age children in care, and 14 additional fingerprint cleared staff members. The teacher-child ratio was being met today. The center was toured for a health and safety inspection. The center is has an infant component attached, 073405621. The facility operates from Monday through Friday from 7:00am–6:00pm.

The preschool operates out of a building located in the Hillcrest shopping center. There are five classrooms within the building for the preschool component. The room floors, surfaces, furniture and equipment appear to be safe, sanitary and in good repair. The heating, lighting and ventilation is adequate. There is a total of eight toilets and eight sinks available for the children which are sanitary and in operational conditions. There are supplies available for the children to wash and dry their hands. There are separate bathrooms for staff. The activities and toys appear to be age appropriate for the children in care. The outside play area is fully fenced in, with three separate areas. There are shaded areas and age appropriate toys. There are play structures that have turf cushioning, to absorb the impact from a fall. There are two sheds in the older playground that are off limits to children in care. LPA did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during todays inspection. The center prepares and provides lunch and snacks to the children while in care. The kitchen area was maintained in a clean manner and there is a current menu posted in the front area of the center. The children have their own cubbies and hooks to store their belongings. All children have access to clean drinking water in each classroom and use personal water bottles while outdoors. The fire system is hardwired, there is a working carbon monoxide detector in the kitchen, and fully charged fire extinguishers throughout.


The facility is operating within its licensed capacity and is in ratio today. All proper postings are made visible by the entrance area of the school. The fire/disaster drill log was complete with the last drill logged 10/12/2022. The center utilizes an electronic sign-in and out log, all children were accounted for. LPA obtained and reviewed five children’s files and five staff files. All files were complete and current with CPR and Mandated Reporter training. Report Continues on 809C.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2022
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KIDZ-PLANET, INC
FACILITY NUMBER: 073405620
VISIT DATE: 12/20/2022
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Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov. Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

This facility provides 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.

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.

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.


A notice of site visit was given and must remain posted for 30 days
Exit interview conducted
Report and Appeal Right provided
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
LIC809 (FAS) - (06/04)
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