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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434406753
Report Date: 12/06/2022
Date Signed: 01/23/2023 08:38:18 AM

Document Has Been Signed on 01/23/2023 08:38 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KIDANGO RUSSOFACILITY NUMBER:
434406753
ADMINISTRATOR:MICHELLE MAGANAFACILITY TYPE:
850
ADDRESS:2851 GAY AVENUETELEPHONE:
4083530780
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: DATE:
12/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:MICHELLE MAGANATIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), Stephanie Collins, conducted an unannounced annual inspection of the Preschool. LPA met with Director Michelle Magana and Teacher Teresa Martinez and informed her the purpose of the visit.

LPA arrived at the facility at 9:12 AM. Notification of Parents’ Right Poster, Children's Personal Rights, Child Car Seat Laws, Child Care License, LIC 610 Emergency Disaster Form (1and 2), LIC 308 Designation of Responsibilities, and menu were observed to be posted. Facility’s operating days and hours are Monday- Friday 07:30 AM to 04:00 PM.

During visit, LPA observed a ratio of 8 children to 3 staff. All staff present on site are associated to the facility.
Facility Representative Teresa Martinez 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.

LPA inspected the building inside and out with Director Michelle. The Preschool is located in Portable/Classroom # 94 of a functioning school site (Russo Elementary School). The Preschool classroom (s), restroom (s) for children to use and office area, storage area, food storage areas were inspected. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Restroom for children to use were observed to be in operating conditions. There are separate staff rest rooms located on the school grounds. The classroom has a designated sick child area with appropriate equipment which sick children can utilize if isolation is required.


SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2022
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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO RUSSO
FACILITY NUMBER: 434406753
VISIT DATE: 12/06/2022
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Floors were clean. Disinfectants, cleaning solutions, poisons, sharps, and other items that are dangerous to children were stored inaccessible. Facility provides two meals Breakfast and Lunch. Meals are prepared and packaged by the facility's "Nutritional Department by Kadango ," which is off site, and then delivered to the facility. LPA observed that food storage areas were clean, free of litter, rubbish, and rodents/vermin. Foods and beverages were kept protected against contamination and spoilage. Trash cans for solid waste had tight-fitting covers on.
The Preschool has its own playground, which is enclosed by fence. Activity schedule was posted. LPA observed play equipment maintained in a good condition, free of hazards. Play areas is covered by green turf that can absorbs falls. There were no bodies of water observed. Facility representative stated that facility does not have weapons on the premises. Drinking water is arranged to be readily available to children. Shade is provided by building overhang, etc. First Aid kit was inspected. Smoke and carbon monoxide detectors observed.
Log recorded that the last fire/disaster drill was conducted on 11/18/22. LPA reviewed facility's sign in/out procedure and record.
A sampling of children and all staff files were selected for review. Children records reviewed includes: Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment form, Medical Assessment, and immunization.

Staff records reviewed include: Criminal Record and Child Abuse Index Background Check Clearance, Health Screening Report with TB Clearance, Immunization Record for Measles and Pertussis, Education Qualification, and required Training. LPA reminded Director that the AB1207 Mandated Reporter Training needs to be renewed every two years. There was at least one person with documented current certification in Pediatric CPR/1st Aid present at the facility during LPA' inspection. Annual state fees current.

Notice of Site Visit

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

Posting Requirements

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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