Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517312
Report Date: 11/01/2018
Date Signed: 11/01/2018 07:24:39 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:NEIGHBORHOOD KIDS' CORNERFACILITY NUMBER:
410517312
ADMINISTRATOR:MCAFEE, SUSANFACILITY TYPE:
840
ADDRESS:3790 RED OAK WAYTELEPHONE:
(650) 365-6117
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:90CENSUS: 81DATE:
11/01/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Susan McAfeeTIME COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA) Singh met with Director, Susan McAfee, for a random annual inspection. Purpose of the inspection was explained. Present, there are 81 children with staff and the director. Facility is operating within the capacity and in compliance with staff child ratio on this day.

With director, LPA inspected the day care areas: Room 21, Room 22, Room 24 and Play yard. The facility is operating from a school site. There are no pools, spas or other bodies of water at the facility. Facility has smoke detector, smoke detector, fully charged fire extinguisher and working telephone at the site. All the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility floor is in good repair and free of any hazards. All storage containers for solid waste and in good repair and have proper tight - fitted lid on top. Facility has drinking water available for children. All the materials and surface accessible to the children is clean and toxic free. Facility provides the snacks. All the food is stored in properly manner and has lid to avoid any contamination. There is food menu posted on refrigerator. There is drinking water in play yard for children. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount wooden chunks under the play structures to prevent any fall injuries.

At 2:45 PM, LPA reviewed the facility records. LPA observed that facility has sign in / out record with full legal signatures. LPA reviewed 10 random children's and three staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Multiple staff members and director has record of valid CPR card in file. CPR is valid until October 2020.

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SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2018
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NEIGHBORHOOD KIDS' CORNER
FACILITY NUMBER: 410517312
VISIT DATE: 11/01/2018
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LPA informs the director that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. Facility staff has record of immunization on file.

This facility provides Incidental Medical Services – IMS. LPA 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

LPA review AB 1207 with the director. As of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. Facility staff has completed the training and has certificates in file.



LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2018
LIC809 (FAS) - (06/04)
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