434416419-10-11-2022-07-CC-JGSS-CK4SA6-20221011134150

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416419
Report Date: 10/11/2022
Date Signed: 10/11/2022 01:42:00 PM

Document Has Been Signed on 10/11/2022 01:42 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:	BUILDING KIDZ SCHOOL		FACILITY NUMBER:	434416419
ADMINISTRATOR:	MANALI AMAR DOSHI		FACILITY TYPE:	850
ADDRESS:	4115 JACKSOL DRIVE, BLDG 4		TELEPHONE:	(408) 559-1003
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95124
CAPACITY: 73	TOTAL ENROLLED CHILDREN: 61	CENSUS: 44	DATE:	10/11/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Manali Doshi		TIME COMPLETED:	01:55 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	Licensing Program Analysts (LPAs) James Santos and Marilou Monico conducted an unannounced case management inspection of the facility today and met with Licensee, Manali Doshi. The inspection is in response to facility’s request for an increase in the Preschool License capacity from 73 to 125 preschool children. Fire inspection was conducted on 10/5/2022 and clearance granted and approved for the capacity increase. The Preschool Program will operate Monday through Friday from 7:00 AM to 6:00 PM in classrooms 11 through 17. LPAs toured and measured the indoor and outdoor areas of the facility during today's inspection. Indoor Activity Space: Building 3: ROOM 11: 29.417 x 27.250 = 801.613 minus 18.086 (encumbered space) = 783.527 ROOM 12: 29.333 x 27.083 = 794.425 minus 122.518 (encumbered space) = 671.907 Building 4: ROOM 13: 25.917 x 14.917 = 386.603 21.583 x 31.250 = 674.468 TOTAL = 1,061.071 - 251.701 (encumbered space) = 809.37 ROOM 14: 12.833 x 9.833 = 126.186 minus 8.332 (encumbered space) = 117.854 ROOM 15: 38.500 x 18 = 693 minus 57.021 (encumbered space) = 635.979 ROOM 16: 29.583 x 9.833 = 290.889 minus 57.741 (encumbered space) = 233.148 ROOM 17: 36.667 x 31.250 = 1,145.843 minus 13.918 (encumbered space) = 1,131.925 *TOTAL INDOOR SPACE = 4,383.71 sq. ft. divided by 35 = 125 children* *Continued on page 2*

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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: BUILDING KIDZ SCHOOL	FACILITY NUMBER: 434416419
	VISIT DATE: 10/11/2022

NARRATIVE

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Facility has 14 sinks (210), 9 toilets (135) available for the children. Staff bathrooms are located outside Building 3. The sick children will be using one of the staff bathrooms (women's) if needed and will be accompanied by staff. Sick children will be isolated in the office and isolation equipment will be provided. Staff and children's bathrooms are clean, sanitary, and operable.

LPAs observed containers with tight-fitting lids for the disposal of solid waste. First aid supplies are stored in each classrooms and in the office inaccessible to children. Cleaning supplies are stored in the laundry area. LPAs observed fire extinguishers, smoke/carbon monoxide detectors and appropriate lighting in each classroom. Medications will be stored in the classrooms and in the office.

LPAs observed that all furniture and equipment indoors are in good condition and safe for the children. Drinking water will be readily available for the children indoors via individual water bottles. Transportation will not be provided by the facility.

The facility will serve breakfast, lunch, morning and afternoon snacks. There is an off-limits kitchen for food preparation located in Building 4. The kitchen is equipped with refrigerator, microwave, stove, oven, dishwasher, and a sink with hot and cold running water.

There are 25 tables, 126 chairs, 160 cubbies, 20 hooks, 70 cots and 8 mats for the children. There is adequate equipment, supplies, and toys for the preschool children in each classroom. Some of the children will be coming on a part-time basis and will not nap at the center.

Outdoor Measurements:

PLAYGROUND (BLDG 4): 50.167 x 71.417 = 3,582.776
91.833 x 20.583 = 1,890.198
TOTAL = 5,472.974 - 76.083 (encumbered space) = 5,396.171
PLAYGROUND (BLDG 3): 12.167 x 39.917 = 485.670 minus 30.206 (encumbered space) = 455.464
TOTAL OUTDOOR SPACE = 5,851.635 sq. ft. divided by 75 = 78 children

Continued on page 3

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC809 (FAS) - (06/04)

Page: 2 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BUILDING KIDZ SCHOOL	FACILITY NUMBER: 434416419
	VISIT DATE: 10/11/2022

NARRATIVE

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LPAs observed the playgrounds are fully fenced which meet the height requirements. Shades are provided by a tree, canopies, and building overhang. The play structures are cushioned with material (tanbarks and synthetic grass) that will absorb a fall. Drinking water will be provided via individual water bottles. No bodies of water were observed.

This facility provides Incidental Medical Services - IMS. LPAs reviewed storage of medication and equipment/supplies, and reviewed children's personnel and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

Licensee 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.

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.

LPAs received two waiver requests from Licensee for preschool playground.

No deficiencies cited. Exit interview conducted and report was reviewed with Licensee, Manali Doshi. LPAs advised Licensee that a license for 125 Preschool children will be submitted to Licensing Management for the final stage of approval.

NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC809 (FAS) - (06/04)

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