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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415705
Report Date: 10/14/2022
Date Signed: 10/14/2022 12:54:40 PM

Document Has Been Signed on 10/14/2022 12:54 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KIDANGO FOXDALEFACILITY NUMBER:
434415705
ADMINISTRATOR:THAO NGUYENFACILITY TYPE:
850
ADDRESS:1250 FOXDALE LOOPTELEPHONE:
(408) 290-7666
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 10DATE:
10/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Nguyen, ThaoTIME COMPLETED:
01:00 PM
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On this day Licensing Program Analyst/s (LPA/s) Almaraz, Celi conducted an unannounced annual random inspection. Due to COVID- 19 precautionary measures were taken. This facility is currently licensed for a capacity of 24. Licensing staff met with Director Nguyen, Thao and explained the nature of today’s inspection. This is a Preschool program that currently operates from 7AM to 5 PM, Monday thru Friday, closed at 1:30 PM every other Friday (including this day). Licensing staff was taken on a guided tour of the facility of both indoors and outdoors. At the initial start of this visit, there is a total census of 12 children and a total census of 4 staff, teachers and/or assistants present, including director.

Director states that there are currently 19 children enrolled. This is a double component facility, there is an infant program 434415706 on campus.

Physical Plant: This is preschool program which consists of the following classrooms: One classroom, Class 168. All areas identified on the Facility Sketch were inspected. LPAs observed the following: Classroom 168. Staff # 1 thru 3 two fully qualified teachers and one assistant with 12 preschool children. Teacher child ratios were observed, and staff names recorded. Personal rights observed. There is access to three sinks, three toilets. There is a kitchenette in the classroom that is separated by a door and has an observation area for visual supervision. LPA observed that all items that may pose a threat to children were locked under the sink. LPA advised Director that for best practice a safety knob shall be placed on the two adjacent doors leading into the kitchenette area. Director will place an order and send the information to LPA. 1/6
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE: DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2022
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO FOXDALE
FACILITY NUMBER: 434415705
VISIT DATE: 10/14/2022
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All classrooms observed to have suitable furniture and equipment, which were inspected for age appropriateness. All classrooms observed to have sufficient have telephone services, heating, lighting, and ventilation.

General sanitization & safety: Children have their own cubby to store their belongings. Per Director, sick children are isolated in the director's office. All storage containers for solid waste, including moveable trash receptacles have tight-fitting covers that are kept on, and in standard condition. LPA observed have foot petals to open. General sanitation was observed. Availability of indoor drinking water was observed in classrooms. Disinfectants, cleaning solutions, medication and other hazardous items that pose a risk to children, were inaccessible to the children in care. Director states that poisons are kept with the custodian. No bodies of water or other hazards were observed during inspection. Director understands that smoking is prohibited. Per Director there are no firearms on site.

Kitchen: All kitchen areas/food preparation and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable trash receptacles have tight-fitting covers that are kept on, and in standard condition. Water and refrigerator temperatures in standard condition. Director states waste is to be discarded immediately after each meal.

Food: Menus are posted on line one week in advance for the month, in each classroom and are emailed or texted to parents per request. Menus for the past one year are available upon request. Snacks (PM), breakfast and lunch are provided. Per Director facility is with a food program, CACFP, and were reviewed for availability, quantity and appropriateness to children in care. Per Director, all meals are prepared daily at the head office and transported to facility. Snacks and supplemental food with 5 components kept on site. Per Director there is an allergy list for each child posted in kitchen area. There are also index cards, with child’s name and allergies kept classroom, on cabinet door.

Lavatories: Classroom 168 has access to 3 sinks, 2 toilets and 3 urinals. Staff uses an extra lavatory in the infant program. There is a single stall in the class lavatory which is used for a sick child if needed. 2/6

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO FOXDALE
FACILITY NUMBER: 434415705
VISIT DATE: 10/14/2022
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Medical & First Aid Supplies: There is a first aid kit in the classroom. LPA reviewed kit to ensure supplies are complete. Director states that supplies are checked every month, every four months a health and safety package is sent, the emergency supplies are also checked at this time. Per Director medication is only administered to a child when accompanied with a doctor's note, parent plan, authorizations are to be completed monthly. The medication is kept in an emergency backpack, which is stored out of reach.

Per Director there are currently no children enrolled who required Incidental Medical Services (IMS). 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

Fire & Safety: Carbon monoxide detectors and smoke detectors are working and present in the facility, the fire department conducted a fire inspection on 10/10/22. There are Fire extinguishers, size 3A40BC in each room, last serviced 04/11/2021; a last fire drill was conducted on 09/09/2022, Director understands this is to be completed every six months.

Matts and cots: Cots inspected for napping were observed to be maintained in a safe condition with no exposed foam. Constructed of material at least 3/4 inch thick. Covered with vinyl or similar material that can be wiped. Designed so that the sleeping side can be distinguished from the floor side. Per Director cots are wiped with a detergent/disinfectant weekly or when soiled or wet. Each cot observed to be equipped with a sheet and/or blanket to cover the child. Per Director bedding is not shared and is washed onsite each Friday (or when soiled) to be laundered. LPA reminded Director that bedding shall be individually stored so that each child's bedding is identifiable, and no child's used bedding shall meet other bedding. Blankets are sent home each Friday to be washed. Bedding is stored on top of each cot, so as not to touch. 3/6

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO FOXDALE
FACILITY NUMBER: 434415705
VISIT DATE: 10/14/2022
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Outdoor Playground: Equipment is in safe condition, free of sharp, defective or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. This facility is in Foxdale apartment village complex, main building is shared with leasing office. Resident children have access to playground on the weekends. There is one playground for children in care. There is also a patio, please see waiver section of this report. There is a locked storage shed in patio area, where play equipment for the children is kept.

Facility Records: LPA/s issued Review of Staff records (LIC 859) to the Director during this inspection. At least one staff has record of CPR and First Aid, valid until .01/15/2024. All staff present have the following: MMR & Tdap vaccinations, flu vaccine or the opt out. All staff has completed Mandated Reporter Training, Directors is valid thru 2024. Directors understand this must be renewed every two years. LPA/s reviewed 3 children's files and issued an LIC 857. LPA reviewed 4 staff files. All files were observed to be complete.

Sign in and out: Procedures were reviewed by LPA/s to ensure that children who are present where sign in. Facility uses an electronic sign in/sign out system. LPAs obtained a roster and personnel report at the conclusion of this inspection.

Waivers: There are two waivers on file both for outdoor activity space, including the patio, which requires the following: 1. No more than 22 children shall be in the playground at once. 2. Patio shall never exceed 12 children at any time. 3. Playground and patio schedules must be posted in the classroom. 4. No other programs shall be commingling. 5. Ratio must be complied with at all times. Director states playground is not locked from the inside, due to being shared with apartments. Director states there is always a teacher posted by the door to ensure supervision. LPA observed facility has complied with all terms of this waiver. 4/6
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
LIC809 (FAS) - (06/04)
Page: 6 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO FOXDALE
FACILITY NUMBER: 434415705
VISIT DATE: 10/14/2022
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LPA advised Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. For commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Postings: Parent’s Rights Poster (with complaint Hotline) was observed during this inspection. LPA observed all required postings, including license and emergency disaster plan.

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.


LPA discussed the following for best practice: 1. Placing locks on two doors in classroom 168, the kitchenette within this classroom. 2. Placing material that may absorb a fall in patio area and fill in any crevices. 3. Cover the left side of the patio (fence part) with mesh or a similar material.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the facility representative. .

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers 5/

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDANGO FOXDALE
FACILITY NUMBER: 434415705
VISIT DATE: 10/14/2022
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Lead Testing: Director states a lead sample was collected by a certified external water sampler on 10/14/2022, and results will be back within 2 weeks. Director understands providers must submit the LIC 9275, a completed signed and dated child care sampling checklist form LIC9276 and a facility sketch LIC 999 fully labeled with locations of all water outlet to their LPA.

The following was discussed:
· Reporting Requirements.
· The facility shall ensure that each child is accorded the following personal rights: to be accorded safe, healthful and comfortable accommodations.
· All personnel shall be in good health and shall be physically and mentally capable of performing assigned tasks; personnel that pose a threat to the health and safety of children shall be relieved of their duties.

All personnel shall be given on the job training in housekeeping, sanitation principles and universal health precautions.

LPA advised the facility representative to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

There are no deficiencies being cited in accordance to Title 22 of the California Code of Regulations and Health & Safety codes.

No deficiencies were sited during today’s inspection.

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

Exit interview conducted and report was reviewed with facility representative, 6/6
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Araceli Almaraz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
LIC809 (FAS) - (06/04)
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