434412165-7-26-2022-52-CC-MESA-CGQ3WQ-20220726183707

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434412165
Report Date: 07/26/2022
Date Signed: 07/26/2022 06:37:23 PM

Document Has Been Signed on 07/26/2022 06:37 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	SAFARI KID, INC.		FACILITY NUMBER:	434412165
ADMINISTRATOR:	RUMA CHOKSHI		FACILITY TYPE:	850
ADDRESS:	1402 DEMPSEY ROAD		TELEPHONE:	(408) 945-9032
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	96	CENSUS: 38	DATE:	07/26/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:49 PM
MET WITH:	Namrata Walani		TIME COMPLETED:	06:45 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 Tuesday, July 26, 2022 at 2:49 PM, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required 1 Year visit. LPA met with the Director Namrata Walani and explained the nature of site visit. Present on this visit were 8 staff, 9 toddlers and 29 preschool children. Facility operates from Monday to Friday 8:30 am to 6pm. LPA toured the facility to conduct a Health and Safety Inspection with the Director. Facility was observed to be following teacher to children ratio requirement during the inspection. Children were engaged in various activities under the visual supervision of the teachers. The classrooms (Safari Cubs - Toddlers, Tembo Bots and Curious Twiga), restrooms, staff kitchen, storage room, and office area were inspected. Director stated that facility does not possess nor store any weapons on the premises. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Furniture and equipment such as mats, cots, tables, and chairs were age appropriate and were in good condition, free of sharp, loose, or pointed parts. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Outdoor Activity space is fenced and play equipment were maintained in a safe condition and free of hazards. Facility has a Toddler Option with a capacity of 12 children in Safari Cubs - Toddler Room. LPA observed bottles, dishes, and containers of food brought by the toddler's authorized representative are labeled with the toddler's name and the current date. The toddler changing tables are placed within arm’s reach of a sink while in use. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children. Drinking water are arranged to be readily available to children during indoor and outdoor activities. SEE 809 C.....

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: SAFARI KID, INC.	FACILITY NUMBER: 434412165
	VISIT DATE: 07/26/2022

NARRATIVE

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Continuation.

Facility contracts with a third-party vendor who provides Lunch for children. Children brings their own snacks from home. Menu is observed to be posted. Trash cans for solid waste had tight-fitting covers on and were in good repair.
Facility files were reviewed. Children sign in and out procedures, logs were reviewed, and LPA obtained copies. Facility is currently using an electronic sign in and out system called "ProCare." LPA reviewed the system's operation/logging with Director. A sampling of Children's files was taken for review. The records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, Immunization, and Consent for Emergency Medical Treatment.
A sampling of Staff's files was taken for review. There was at least 1 staff with current certification in Pediatric CPR and First Aid present at the facility during inspection.

LPA discussed the following with the Director;
*LIC 311 A with the Director, PIN 20-24-CCP RECENTLY APPROVED SAFE SLEEP REGULATIONS IN EFFECT and PIN 22-10-CCP UPDATED GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE (COVID-19), LEAD FAQ's and Provider Information for Parents & Families about Lead Poisoning and reminded that Director must provide the Risks and Effects of Lead Poisoning PUB 515 flyer to parents and families upon enrolling or reenrolling any child. Director understood.

Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles. The facility had a recent inspection with City of Milpitas Fire Department on April 2022 and the Fire Permit expires on 12/31/2022. Facility conducted Fire and Earthquake Disaster Drills on 04/08/2022.

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

SEE 809 C.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

Page: 8 of 9

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: SAFARI KID, INC.	FACILITY NUMBER: 434412165
	VISIT DATE: 07/26/2022

NARRATIVE

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Continuation.

Facility has a current waivers for Outdoor Playground and Children's Sign In and Out. LPA observed waivers posted.

LPA obtained copies of the Facility's LIC 9040, LIC 500 and most recent Lead Sampling Report.

LPA discussed the safe sleep regulations with the Director 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 licensee [facility representative] 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.

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/inspection-process.

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.

There are no deficiencies cited on this visit.

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

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

Exit interview conducted and report was reviewed with the Director, Namrata Walani.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

LIC809 (FAS) - (06/04)

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