013422495-3-29-2023-52-CC-AWRT-CQDUAB-20230329152428

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422495
Report Date: 03/29/2023
Date Signed: 03/29/2023 03:24:32 PM

Document Has Been Signed on 03/29/2023 03:24 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KIDANGO PAUL MILLER		FACILITY NUMBER:	013422495
ADMINISTRATOR:	JENNIFER RALPH		FACILITY TYPE:	850
ADDRESS:	4700 CALAVERAS AVENUE		TELEPHONE:	(510) 516-7026
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY: 64	TOTAL ENROLLED CHILDREN: 64	CENSUS: 37	DATE:	03/29/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Nora Goodale		TIME COMPLETED:	03:25 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	On March 29th, 2023 at 12:15pm, Licensing Program Analyst (LPA) April Wright arrived for an Unannounced Required-1 Year inspection, and met with Director Nora Goodale. There were 37 children and 8 fingerprint cleared staff members present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 7:00am to 6:00pm. CLASSROOMS: Two (2) classrooms were inspected (Rooms 163 & 164). Classroom 162 is closed and used for storage/teacher break room due to teacher shortage per director. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation, and lighting. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is the staff bathroom, director's office, and each classroom has quiet area which is away from other children in care. The center has smoke/carbon monoxide detectors, working telephone, and three (3) fully charged 3A40BC fire extinguishers. The center is equipped with 3 fully stocked first aid kits that is available in all classrooms. BATHROOMS AND TOILETING AREAS: The staff's bathroom are separate from the children's bathrooms. All sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. Supplies are available to the children in care. FOOD SERVICE: This facility provides breakfast, lunch and snack for children in care. There are monthly menus posted at the facility outside and in each classroom. All storage containers for solid waste have tight fitting covers that are in good repair. See LIC809C for continuance.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDANGO PAUL MILLER	FACILITY NUMBER: 013422495
	VISIT DATE: 03/29/2023

NARRATIVE

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OUTDOOR PLAY AREAS: There's a play structure with a 2 slides and canopy that has cushioning to absorb falls that is anchored for stability. There's also 3 canopy areas with seating for play and resting. There's also building slight overhang that provides shade to children while at play. Facility also age appropriate toys that are in good condition. Facility has water play area that is not in operation at this time and not accessible to children.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Eight (8) children's files and Nine (9) staff files were reviewed including director file. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. Mandated Reporter Training and CPR/First Aid certificates were reviewed for all staff and are up to date. The center is in compliance with the sign in and out procedure via Kindersign. Disaster drills are being conducted every six monthsd and the last one conducted was on 2/23/2023. All required documents are posted in a public accessible area.

Incidental Medical Services (IMS) policy was discussed. Facility does provide IMS and has provided Plan of Operations for each child, Three (3) files were reviewed and plans/authorization forms/instructions for use are in place. 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

Facility representative 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.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Center Director Nora Goodale.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

LIC809 (FAS) - (06/04)

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