<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700530
Report Date: 11/07/2022
Date Signed: 11/07/2022 12:37:08 PM

Document Has Been Signed on 11/07/2022 12:37 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 THE PLAZAFACILITY NUMBER:
015700530
ADMINISTRATOR:GALVAN, ANGELICAFACILITY TYPE:
850
ADDRESS:500 E STREETTELEPHONE:
(510) 509-1619
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY: 24TOTAL ENROLLED CHILDREN: 20CENSUS: 17DATE:
11/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Treza RezkallahTIME COMPLETED:
01:00 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 11/07/2022 approximately at 9:00AM, Licensing Program Analyst (LPA) Kelly Phan met with Treza Rezkallah (Center Director) for an unannounced required 1 year inspection. Present for this inspection are 17 preschool aged children and 5 fingerprinted and associated staff members. The facility is in ratio today. Facility operating hours are 7:30AM-5:30PM Monday -Friday. The facility was toured to conduct a health and safety inspection.

At 9:20AM, LPA toured the facility classroom. The isolation area is located in the facility office away from other children. The classroom is tidy and clean with heating and ventilation for safety and comfort. There are safe age-appropriate toys and learning materials available to children throughout the classroom. There were no hazardous materials and toxins present during today's inspection. Furniture accessible to children was observed to be age-appropriate, in operable condition, and free of loose, sharp, or pointed parts. Per center director, the facility provides water pitchers with disposable cups to children inside and outside the facility. There are individualize storage space for each child's belongings; The facility uses sleeping mats and per director, blankets and bedding are cleaned every week or as needed. LPA also toured the two facility bathrooms. There were adequate amounts of paper towels and hand soap available to children in the bathroom, there were no cleaning supplies were observed to be accessible to children. There is also a separate bathroom for staff only. LPA also observed there is a separate area for food preparation that had solid tight fitted containers and working refrigerator also used to store medications and snacks; The facility provides breakfast, lunch, and PM snack. LPA reviewed the facility's sign in/out system as the facility is using an electronic application, Kinder Sign to capture parent's signatures as of July 2022. There were 17 children marked in the sign in/out sheet out of 17 children present during today's inspection. There are 2 fully charged 2A10BC fire extinguishers in the classroom, working telephones, carbon monoxides, and smoke detectors are inspected by Fire Marshall every year per Center Director as the last date inspected was September 23, 2022. LPA verified that a fire drill was last conducted on 10/14/2022 and earthquake drill was last conducted on 10/20/2022. There are no pools, hot tubs, ponds, or any other bodies of water accessible to children during today's inspection. SEE LIC 809 C


SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: KIDANGO THE PLAZA
FACILITY NUMBER: 015700530
VISIT DATE: 11/07/2022
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
26
27
28
29
30
31
32
At 9:40AM, LPA and the center director toured the playground and was observed to be safe, operable, and age-appropriate. The playground is fully gated and has plenty of trees to provide shade. Areas around slides and high climbing structure have cushioning material to absorb falls. Per director, the left side of the playground area is OFF limits to children as it is their emergency exit area. There is also a small container with a lid that is used for sand play, which is inspected daily for potential hazardous items.

At 10:00AM, six children's files and 3 staff files were reviewed and found to be complete. All required forms are posted in public review including a menu that is updated every month. Facility roster was reviewed and a copy was obtained. This facility does provide incidental medical services (IMS) to the children. LPA also reviewed medications stored at the facility's emergency disaster backpack and found that there are authorization forms completed by parents and are not expired; one of the medications did not have an original container, LPA reminded director to have all prescribed and non-prescribed medications to have original containers with unaltered labels. LPA also suggests to also have the LIC 9221 (Parent Consent for Administrating Medications form) on file for each child. Center also has fully stocked first aid kit that is inaccessible to children.

There were no deficiencies were cited for today's inspection

Appeal rights and a notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00. Exit interview conducted and report was reviewed with center director, Treza Rezkallah.

See LIC 809 C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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 THE PLAZA
FACILITY NUMBER: 015700530
VISIT DATE: 11/07/2022
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
26
27
28
29
30
31
32
Incidental Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. The facility is following and have developed IMS plan on file. When any changes to the IMS plan is made, an updated 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.”

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

Licensee was reminded that California Law requires licensed 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. LPA informed the Facility Representative that all forms can be downloaded at www.ccld.ca.gov and encouraged the Facility Representative to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. Licensee was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.



To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3