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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075700613
Report Date: 10/10/2023
Date Signed: 10/10/2023 05:02:17 PM

Document Has Been Signed on 10/10/2023 05:02 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:LITTLE BUTTERFLIES SAN RAMON, THEFACILITY NUMBER:
075700613
ADMINISTRATOR:KRISHNAKUMAAR, JANANIFACILITY TYPE:
830
ADDRESS:2691 CROW CANYON ROADTELEPHONE:
(410) 562-8852
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 3DATE:
10/10/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Janani KrishnakumarTIME COMPLETED:
05:20 PM
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A Pre-Licensing Inspection was conducted on this date 10/10/2023 at 1:45PM by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant, Janani Krishnakumar. An application was submitted for a CHANGE IN OWNERSHIP of an INFANT facility. Operating Monday through Friday from 8AM - 6PM. Also on site is a Preschool component with a toddler option #075700614 (max cap: 55) and School Age component #075700615 (max cap: 22) Also on site during today's visit were 3 infant aged children and 2 staff members.A health and safety inspection was conducted inside and outside. Measurements were previously taken and are as follows:

INDOORS: 276.80 square feet = 7 children
OUTDOORS: 325.68 square feet = 4 children

The infant component operates out of 1 classroom. There is a total of 1 sink available for children use. The infants have their own play yard which is sectioned off to prevent commingling with other components. Play yard has umbrellas and trees for shade. Drinking water is available inside and outside by way of water dispensers and bottles brought from home. Children bring lunch from home. Facility provides AM/PM snacks. Menus are posted. Facility has a functioning carbon monoxide detector, smoke detector and fire extinguisher accessible throughout the facility. Facility utilizes an electronic sign in/out application which provides a unique identifier for each authorized representative. A paper copy is available should the application not work.

An approved Fire Clearance was received on 9/25/2023 from San Ramon Valley Fire for 7 infant aged children.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LITTLE BUTTERFLIES SAN RAMON, THE
FACILITY NUMBER: 075700613
VISIT DATE: 10/10/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (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 reviewed with Applicant the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed the Applicant of the importance of checking for devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant was informed of the MyChildCarePlan.org site, 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.

Exit interview conducted and report was reviewed with the applicant, Janani Krishnakumar.

A license for 7 infant aged children, will be issued effective today 10/10/2023.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC809 (FAS) - (06/04)
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