073408278-10-1-2021-02-CC-MMAR-C7DREM-20211001125746

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408278
Report Date: 10/01/2021
Date Signed: 10/01/2021 12:57:52 PM

Document Has Been Signed on 10/01/2021 12:57 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:	SAFARI KID-WALNUT CREEK		FACILITY NUMBER:	073408278
ADMINISTRATOR:	NOURA HALABI		FACILITY TYPE:	850
ADDRESS:	2210 OAK GROVE RD		TELEPHONE:	(925) 464-7663
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY: 75	TOTAL ENROLLED CHILDREN: 0	CENSUS: 32	DATE:	10/01/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Autumn Cazenas/Shalini Singh		TIME COMPLETED:	01:00 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 10/1/21 at 9:15 am Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Annual inspection of Safari Kid Walnut Creek. LPA met with Site Supervisor, Autumn Cazenas and Licensee, Shalini R Singh and explained the purpose of today's inspection. Director, Noura Halabi was not present in the premises today. There is a Toddler Option with this license. Facility's operating days and hours are Monday to Friday 8 am - 6 pm in 3 preschool rooms and 1 toddler room. There is an active waiver on file for use of electronic sign in and out. Autumn stated currently due to COVID, parents are signing on a daily attendance paper sheet instead. The physical plant was inspected. LPA toured the premises with Autumn. Indoor space: The classrooms, restrooms, office area were inspected. Facility was observed to be in compliance with teacher to children ratio requirement during LPA'' inspection. Children were engaged in various activities under the visual supervision of the teachers. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Children bring their own food from home and Center keeps back up snacks available. Foods and beverages were stored safely. Trash cans for solid waste had tight-fitting covers on and were in good repair. LPA observed a working Fire extinguisher, Smoke and Carbon Monoxide Detectors. Log shows that the last Fire Drill was conducted on 8/27/21. Facility does not provide transportation for children, but Autumn understands that children cannot be left alone, unattended in parked vehicles. Required postings were observed on the wall near entrance. continued

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SAFARI KID-WALNUT CREEK	FACILITY NUMBER: 073408278
	VISIT DATE: 10/01/2021

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

Outdoor Space: Toddler and Preschool outdoor playgrounds was inspected and observed to be fenced and safe. The play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. Shade is provided by way of covered patio. There were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities.
File Review: Children sign in and out procedures and logs were reviewed. A sampling of Children and Staff files was taken for review. All files contained required documents. There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. Children's Roster was reviewed, and a copy obtained.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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
Licensee 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.

In the areas that were evaluated, no regulatory violations were observed.
Exit interview conducted and report was reviewed with the Licensee, Shalini R Singh and Site Supervisor, Autumn Cazenas. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2