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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004946
Report Date: 11/28/2022
Date Signed: 11/28/2022 04:59:54 PM

Document Has Been Signed on 11/28/2022 04:59 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:KIDS KONNECT INFANT CARE & PRESCHOOLFACILITY NUMBER:
414004946
ADMINISTRATOR:YU, FIEONFACILITY TYPE:
830
ADDRESS:137 NORTH SAN MATEO DRIVETELEPHONE:
(510) 305-7857
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
11/28/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Makinya Ward, Ingrid Ho, and Brittney CacasTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted a scheduled pre-licensing inspection for an infant program and a preschool program under application #414004945. LPA met with Applicant Makinya Ward, Regional Program Manager Ingrid Ho, and Lead Teacher Brittney Cacas. Applicant is requesting a capacity of 16 infant children. Facility will operate from Monday to Friday from 7:30 am to 6:00 pm. The designated site director will be Fieon Yu. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity.

Indoor: Infant program utilizes three rooms at facility. Main infant room, tummy time room which has a changing table inside, and a third room for children's meals and further play area. Total useable indoor square footage measures at 558.40 sq ft divided by 35 sq ft equals 15 children. Applicant will submit an updated application for 15 infant children.

Classrooms are observed today to be clean, safe, and in good repair. All furniture, toys, and equipment are observed to be age appropriate and in good condition. There is a storage space for children's personal belongings and cribs and mats will be utilized for napping children. School will provide a sheet for the children which will be cleaned by staff weekly. Indoor space is equipped with a fire extinguisher, smoke and carbon monoxide detectors, and a fire alarm system. Garbage cans have tight-fitting lids. There is a fully stocked first aid kit that is inaccessible to children. Indoor space is adequately ventilated and free of insects and bugs.

Infant program will utilize the changing table in the tummy time room with one sink next to it. Potty chairs will be available for children who may start potty training prior to transferring to the preschool program. A bathroom with two toilets and two sinks is also available for children's use that is shared with the preschool program. Bathroom is observed to be clean and with no health and safety hazards. All sinks accessible to children deliver water that is no warmer than 120 degrees. There is a separate bathroom for staff usage on the premises.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2022
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KIDS KONNECT INFANT CARE & PRESCHOOL
FACILITY NUMBER: 414004946
VISIT DATE: 11/28/2022
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Drinking water is available for children indoors and outdoors. Kitchen will be inaccessible to children and is observed to be clean, safe, and in good repair. All toxins and other hazardous items will be inaccessible to children. Isolation of ill children will be in the office area at the front entrance of the facility and the staff bathroom will be used for an ill child.

Facility will provide morning and afternoon snacks. Children will be bring their own lunch. The menu is posted at the entrance of the facility. Medications will be stored in a locked cabinet. Refrigerated medications will be stored in a locked box. Medication will be administered with parental consent and will be kept in the child’s file for record. All medication will be logged when administered to children. Required postings are observed to be posted at the front entrance of the school during today's inspection.

Outdoor: Total useable outdoor square footage measures at 1,160.09 sq ft. divided by 75 sq ft allowing a total of 16 children. The outdoor area is enclosed by a fence at least four feet tall and observed to be clean, safe, and equipped with age appropriate toys and equipment for children. Teachers will bring out a pitcher of water and disposable cups while outside. Shade for children will be provided by trees and neighboring buildings. Applicant has submitted a request for a waiver for scheduled rotational use of outdoor play area.

LPA will approve a provisional license for the capacity of 15 children effective today, November 28, 2022. Fire clearance inspection was conducted on October 14, 2022. Full licensure will be granted once LPA has received and reviewed requested revisions to documents already provided.

Applicant was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years by all staff hired. Training can be taken online at www.mandatedreporterca.com.

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.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KIDS KONNECT INFANT CARE & PRESCHOOL
FACILITY NUMBER: 414004946
VISIT DATE: 11/28/2022
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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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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.

LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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.

Exit interview conducted and report was reviewed with Applicant Makinya Ward, Regional Program Manager Ingrid Ho, and Lead Teacher Brittney Cacas
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
LIC809 (FAS) - (06/04)
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