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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412165
Report Date: 12/12/2024
Date Signed: 12/12/2024 11:57:40 AM

Document Has Been Signed on 12/12/2024 11:57 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SAFARI KID, INC.FACILITY NUMBER:
434412165
ADMINISTRATOR/
DIRECTOR:		NAMRATA WALANIFACILITY TYPE:
850
ADDRESS:1402 DEMPSEY ROADTELEPHONE:
(408) 945-9032
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 35DATE:
12/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:48 AM
MET WITH:Director Namrata WalaniTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On 12/12/2024 at 8:48 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Case Management Visit. LPA met with the Director Namrata Walani and explained the nature of the visit. Present on this visit were 35 children and 8 staff. Facility operates from Monday to Friday, 8:30 am to 6 pm.

On Tuesday, December 10, 2024, at 4:39 PM, LPA Estoesta received an email from the Director with a completed LIC 624. The unusual incident date written on the form was 12/05/2024 at 3:55 pm.

During the visit, LPA obtained Sign in and out sheets dated 12/05/2024, conducted interview and record review. Based on the LPA Record Review that on 12/05/2024 in between 3:54 pm to 3:56 pm, C1 squeezed through the facility’s bottom fence out to the facility’s parking lot. At 3:57pm, P1 saw C1 laying on the parking lot ground next to the facility’s fence, P1 got out from his car, carried and took C1 back to the facility’s front door. At this time, S1 came aware of the situation and run immediately to the front door, out to the parking lot, met P1 and C1, took C1 from P1 and brought C1 inside the facility.

LPA concluded that on 12/5/2024 at 3:54 pm to 3:57 pm, there were a staff lack of supervision. The Licensee were in violation of Section 101229 (a)(1) that no child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time, except as specified in sections 101216.2 (e)(1).



LPA Estoesta informed the Director that this report dated 12/12/2024 included a Type A Citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA informed the Director to provide a copy of this licensing report dated 12/12/2024 that documents of any Type A citation, to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2024
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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Document Has Been Signed on 12/12/2024 11:57 AM - It Cannot Be Edited


Created By: Manel Estoesta On 12/12/2024 at 08:48 AM
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: SAFARI KID, INC.
FACILITY NUMBER: 434412165

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/13/2024
Section Cited
CCR
101229(a)(1)

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 Section 101229 (a)(1) that no child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time, except as specified in sections 101216.2 (e)(1).....
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On the night of 12/5/2024, the Licensee requested from the Facility's maintenance to add a steel coverage on the space bottom fence where C1 squeezed through and done that night as well. The Director informed C1's mother during C1's pick up on 12/5/2024 and on 12/10/2024 meeting, the Director met with C1 parents to discuss the situation and POC.
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This requirement is not met as evidenced by, on the LPA Record Review that on 12/05/2024 in between 3:54 pm to 3:56 pm, C1 squeezed through the facility’s bottom fence out to the facility’s parking out. At 3:57pm, P1 saw C1 laying on the parking lot ground next to the facility’s fence, P1 got out from his car, carried and took C1 back to the facility’s front door. At this time, S1 came aware of the situation and run immediately to the front door, out to the parking lot, met P1 and C1, took C1 from P1 and brought C1 inside the facility which posed an immediate risk to the health, safety, or personal rights of children in care.
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LPA recommended to the Director that the Licensee can request for an amendment on the facility fence with a collaboration with the Fire Department. LPA also recommended for additional Staffing during outdoor play or re-assigning toddlers play area. The Director will submit the POC proof on or by POC due date. LPA shall endrorse the facility for an informal meeting, to the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).

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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:Jason Jang
LICENSING EVALUATOR NAME:Manel Estoesta
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2024


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: 12/12/2024
NARRATIVE
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For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below;
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

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.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC809 (FAS) - (06/04)
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