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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075700614
Report Date: 10/10/2023
Date Signed: 10/10/2023 05:02:53 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:
075700614
ADMINISTRATOR:KRISHNAKUMAAR, JANANIFACILITY TYPE:
850
ADDRESS:2691 CROW CANYON ROADTELEPHONE:
(410) 562-8852
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 7DATE:
10/10/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Janani KrishnakumarTIME COMPLETED:
05:20 PM
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A Prelicensing inspection was conducted today 10/10/2023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant, Janani Krishnakumar. The applicant has submitted a CHANGE IN OWNERSHIP application for a PRESCHOOL license for 55 preschoolers with the option to have 14 of those be enrolled into the toddler-option (18 months-36 months program). The program will operate from 8AM - 6PM, Monday through Friday, in 3 classrooms (Jr. Caterpillar, Caterpillar and Butterflies). Also on site is an Infant component (max cap: 7) and School Age component (max cap: 22). Also present during today's visit was the Director, 2 additional staff members and 7 preschool aged children. A health and safety inspection was conducted inside and outside. Measurements were taken previously and are as follows:

INDOORS: 2012.14 square feet = 57 children
OUTDOORS: 20,048.68 square feet = 267 children

The center has obtained an approved fire inspection clearance from the San Ramon Valley Fire on 09/25/2023.

The facility consists of 3 classrooms. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 7 toilets and 5 sinks available for children use. There is a staff toilet located in both buildings. Facility will provide AM/PM snacks and children will bring lunch from home. Menu will be posted at least one week in advance in a place visible for the authorized representative to see. Facility will utilize the conference room and staff bathroom as necessary for an ill child. Mats were observed today. Theresa Gross is a fully qualified director and a complete director packet has been submitted.
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: 075700614
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 55 preschool children, which includes up to 14 toddlers in the toddler-option program, 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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