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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405620
Report Date: 12/13/2024
Date Signed: 12/13/2024 07:09:15 PM

Document Has Been Signed on 12/13/2024 07:09 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDZ-PLANET, INCFACILITY NUMBER:
073405620
ADMINISTRATOR/
DIRECTOR:
GRINSHPAN, IRINAFACILITY TYPE:
850
ADDRESS:2245 MORELLO AVE. STE. CTELEPHONE:
(925) 457-9411
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 99TOTAL ENROLLED CHILDREN: 99CENSUS: 87DATE:
12/13/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:41 AM
MET WITH:Ramos, AnaTIME VISIT/
INSPECTION COMPLETED:
03:10 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
On 12/13/2024 at 8:30 am, Licensing Program Analyst (LPAs) Mario Caro and Diana Campos met with Assistant Director Ana Ramos for an Unannounced Required Annual Inspection. There were 87 preschool age children in care and 15 additional fingerprint cleared teachers. The teacher/child ratio was being met today. The center was toured to conduct a health and safety inspection. The facility operates from 7:00 am – 6:00 pm, Monday - Friday.

The preschool operates on the corner lot of a shopping center. The room floors, surfaces, furniture and equipment appear to be safe, sanitary and in good repair. The heating, lighting and ventilation is adequate. The toilets and sinks for the children are sanitary and in operational condition. 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 areas are fenced in with shaded areas and age appropriate toys. There are large play structures and the yard is covered with a soft cushioned tarp to absorb falls. The children have personals water bottles for drinking while outdoors. LPA's did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during todays inspection. The center prepares lunches and provides snacks there were menus posted a week in advance and dated in each classroom. The kitchen was maintained in a clean manner and within regulations. There is a menu posted inside. The children have their own cubbies to store personal belongings. All children have access to clean drinking water in each classroom. The fire system is hard wired, there is a working carbon monoxide detector, and a fully charged 2A-10-BC fire extinguisher. All required documents are posted for public review on the parent board by the front entrance door. The center is equipped with fully stocked first aid kits in each class and a working telephone. A review of children's files and present 15 staff files were reviewed. Two children had EPI pen medication that were recently expired. This imposes a potential risk to the health, safety, personal rights of children. A Type B deficiency will be cited on corresponding 809D for the title 22 regulation 101226(e)(2). Report continued on 809C

Mayla MendozaTELEPHONE: (510) 292-9724
Mario CaroTELEPHONE: (510) 414-8926
DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2024
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
Document Has Been Signed on 12/13/2024 07:09 PM - It Cannot Be Edited


Created By: Mario Caro On 12/13/2024 at 02:26 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDZ-PLANET, INC

FACILITY NUMBER: 073405620

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/13/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(2)
Health-Related Services
(2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above at least two children from different classrooms had expired EPI pen medication which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
1
2
3
4
Facility will submit evidence to LPA Caro of expired EPI medication replaced with unexpired medication with photos via mail, or email. POC Date 01/10/25.
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:Mayla Mendoza
TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME:Mario Caro
TELEPHONE: (510) 414-8926
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2