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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422495
Report Date: 06/11/2024
Date Signed: 06/11/2024 12:52:29 PM

Document Has Been Signed on 06/11/2024 12:52 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 MILLERFACILITY NUMBER:
013422495
ADMINISTRATOR/
DIRECTOR:
JENNIFER RALPHFACILITY TYPE:
850
ADDRESS:4700 CALAVERAS AVENUETELEPHONE:
(510) 516-7026
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 25DATE:
06/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Rajonnie LaneTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
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On June 11th, 2024 at approximately 9:35am, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Annual/Random inspection, and met with Center director Rajonnie Lane. Present during the inspection were twenty-five (25) preschool age children and nine (9) fingerprint cleared staff members. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 7:30am to 5:30pm.

CLASSROOMS: Center has three (3) classrooms (Rooms 164, 163 and 162). Classroom 162 currently has no children in attendance and is used as a teacher prep room. The floors are neat and the furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. There are adequate play and learning materials available in each classroom. 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 director's office, away from other children in care. The center has smoke/carbon monoxide detectors, working telephone, and three 3A40BC fire extinguishers, one each classroom. The center is equipped with three fully stocked first aid kits that is available in each classroom. Per director, there are no weapons or firearms at the center.

FOOD SERVICE: Food is provided daily by the facility's in-house food service which provides breakfast, lunch and snack for children in care. Monthly menus are posted for public view at the parent board and kitchen prep areas. Kitchen prep areas in each classroom are neat and orderly with no signs of insects, rodents or vermin. LPA inspected all storage containers for solid waste and observed they have tight fitting covers that are in good condition and repair.

BATHROOMS: Staff bathroom is separate from the children's bathroom. All sinks and faucets are in safe, functional and in sanitary operating condition. Children can reach the sinks/toilets and faucets without difficulty and supplies (soap, paper towels) are available to the children. See LIC809C for continuance...
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE: DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: 06/11/2024
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OUTDOOR PLAY AREAS: There is a play structure with a slide with canopy that has foam cushioning to absorb falls and is anchored for stability. Play yard has garden area for children's learning while in care. There is also an additional play area with canopy that provides shade to children while at play. Facility has age appropriate outside toys that are in good condition.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Six (6) children's files nine and nine (9) staff files were reviewed including center directors file. All staff files have required Health Screening, Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. All Mandated Reporter Training and CPR/First Aid certificates for staff were reviewed and are up to date. At least one person trained in CPR/First aid is present at the facility when children are present. The center is in compliance with the sign in/out procedure via KinderSign and Daily Name-to-Face Attendance sheets that were verified by the LPA. Disaster drills are being conducted monthly and the last one conducted was on 5/2/2024. All required documents/posters are posted on the family board which is a public accessible area upon entry to the center.

Center Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP

See LIC809C for continuance
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
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: 06/11/2024
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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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301(voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Center Director Rajonnie Lane.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
LIC809 (FAS) - (06/04)
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