Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416125
Report Date: 10/02/2019
Date Signed: 10/02/2019 12:00:51 PM

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:KIDANGO-GUY EMANUELEFACILITY NUMBER:
013416125
ADMINISTRATOR:SAGGI, RENUFACILITY TYPE:
850
ADDRESS:100 DECOTO ROADTELEPHONE:
(510) 675-7103
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:21CENSUS: 0DATE:
10/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Renu SaggiTIME COMPLETED:
12:20 PM
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On 10/02/19, Licensing Program Analyst (LPA) Briana Plumboy met with Center Director Renu Saggi for an ANNUAL RANDOM INSPECTION. Also present for the inspection was 3 fingerprint cleared staff. The center is located on the Guy Emanuele Elementary School Campus inside room 5. LPA toured the facility and play yard for a health and safety inspection. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The teacher/child ratio is being met. The classroom and play yard were age appropriate and in good repair during today's inspection. Bathrooms were clean and in working order during the inspection. The trash cans have tight fitting lids. Meals are prepared and delivered by Kidango, Inc. There is a menu posted for the entire month. The kitchen area was maintained during the inspection. There is water readily available. The program consists of two 1/2 day sessions; napping equipment is not needed. All posting requirements are being met. The outdoor play area surface is being maintained and the play structure was removed from last years inspection. There is shaded area for the children and access to drinking water. The center has a waiver for the outdoor play area. Medications are dispensed at this facility. The center has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone, pull down fire alarm, and First Aid Kit. All staff have current CPR and first aid training. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 09/30/19.
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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
The facility has and is implementing their IMS Plan. See 809-C for continuance
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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: KIDANGO-GUY EMANUELE
FACILITY NUMBER: 013416125
VISIT DATE: 10/02/2019
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California Law requires Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail.

The Director is reminded any structural changes to the center or additions to the child care facility must be reported to Community Care Licensing. Director was reminded of Departments inspection authority, with our without any notice.

Director is reminded that ALL Staff must be fingerprint cleared prior to being in the presence of children in care, or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.



For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

There are no deficiencies cited. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
LIC809 (FAS) - (06/04)
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