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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004681
Report Date: 07/21/2021
Date Signed: 07/21/2021 03:23:01 PM

Document Has Been Signed on 07/21/2021 03:23 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BUILDING KIDZFACILITY NUMBER:
414004681
ADMINISTRATOR:HALIE WHEATLEYFACILITY TYPE:
850
ADDRESS:1496 ADOBE DRIVETELEPHONE:
(650) 735-5748
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY: 72TOTAL ENROLLED CHILDREN: 0CENSUS: 51DATE:
07/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Anabel Avalos/Mercedes ShidaTIME COMPLETED:
03:23 PM
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Licensing Program Analyst (LPA)Kaur met with director, Anabel Avalos for a random annual inspection. Purpose of the inspection was explained. Present, there are 51 children with 6 teachers with 1 floater. Facility is operating within the capacity and in compliance with staff child ratio on this day. Facility operates day care from Monday to Friday between 07:30AM to 5:30PM

At 9:00 AM with Director, LPA inspected the day care classrooms and play yard. There are no pools, spas or other bodies of water at the facility. LPA Kaur observed children were having breakfast and playing in play-yard. LPA Kaur observed monoxide alarm was missing. Director stated that it fell and she placed the alarm right away. LPA Kaur recommended secure the alarm so it does not fall again. Facility has working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored in high cabinets and are inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. All toilets, hand washing facilities are in working condition with proper sanitation in place. Children take their own water bottle to play yard however, facility serve water in pitcher as well. The facility has allergy list posted at multiple locations. Facility has first aid supplies available at the multiple locations. Per director, facility provides snacks, breakfast and lunch. All of the unused electrical outlets have child protective covers installed. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts.There is sufficient cushioning underneath the infant play structure.
See next page for continuation .............
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2021
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BUILDING KIDZ
FACILITY NUMBER: 414004681
VISIT DATE: 07/21/2021
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At 11:00 AM, LPA reviewed the facility records. LPA observed that facility has sign in / out record with full legal signatures. Facility has all of the required documents posted and visible for the public. LPA reviewed 6 random children's and all staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Facility has record of immunization of each child attending child care. LPA observed facility has record of staff’s immunization on file. Multiple staff members have record of valid CPR card in file. LPA reviewed the educational qualification of all the teachers. The facility conducts disaster drills and the last drill was conducted on June, 25 2021.

LPA review AB 1207 with the director. Director is aware that as of January 1, 2018 all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Director was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare

LPA discussed the effects of lead exposure with the director and a handout was provided. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted

The copy of report was reviewed and will be email to Director
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
LIC809 (FAS) - (06/04)
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