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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420559
Report Date: 08/30/2022
Date Signed: 08/30/2022 08:31:50 PM

Document Has Been Signed on 08/30/2022 08:31 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDANGO - GRANTFACILITY NUMBER:
013420559
ADMINISTRATOR:CLAY, ADRIENNEFACILITY TYPE:
850
ADDRESS:879 GRANT AVETELEPHONE:
(510) 901-1552
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 17DATE:
08/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:58 AM
MET WITH:ADRIENNE CLAYTIME COMPLETED:
12:36 PM
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On 8/30/22 Licensing Program Analyst (LPA) Sidney Cortez arrived for the purpose of an unannounced Annual/Random Inspection. LPA Cortez met with the Director, Adrienne Clay who was present with 2 staff members who are fingerprint cleared and associated. At 11:45am, 17 preschool age children.The facility operates Monday - Friday 8:00 AM - 11:00 AM and 11:45 AM - 2:45 PM. This facility operates on the campus of Grant school in room 4. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. The toilets and sinks were in operable condition. The floors are free of tripping hazards during today's inspection. All storage containers for solid waste have tight-fitting covers that are in good repair. Drinking water is available both indoors and outdoors. Snack menus are posted and visible for parents to review. There are no pools or similar bodies of water at this facility during today's inspection. Outdoor activity space is in a fenced yard located through the back door of Room 4. There is a shaded area provided for the children. Fire/Disaster Drills are conducted on a monthly basis with the last fire drill conducted on 08/29/22 and earthquake drill conducted on 08/24//22. The facility is operating within its licensed capacity. The facility is within ratio today with one teacher supervising no more than 12 children. LPA did not observe any child left without visual supervision or unattended during the inspection. All staff have required immunization and mandated reporter training certificates. Director has proof of a current First Aid/CPR certificate. Children and staff files were reviewed. A facility roster was provided by the Director. All of the correct postings were on the wall. The first aid kit and sign in sign out sheet (electronic) were reviewed and found to be complete. Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

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.

Incidental Medical Services (IMS) policy was discussed. This facility does not provide IMS (Incidental Medical Services) to children currently. If any IMS is provided, a Plan for Providing 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

Exit interview conducted and report was reviewed with the director, Adrienne Clay.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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