Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422022
Report Date: 03/09/2017
Date Signed 03/09/2017 05:50:05 PM

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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:YOUNG EXPLORERSFACILITY NUMBER:
013422022
ADMINISTRATOR:NAVANEETHAKANNAN,SANGEETHAFACILITY TYPE:
850
ADDRESS:39482 FREMONT BLVDTELEPHONE:
(510) 713-1877
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:24CENSUS: 17DATE:
03/09/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:DIRECTOR S NAVANEETHAKANNANTIME COMPLETED:
06:00 PM
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LPA AL WONG CONDUCTED A (3) RANDOM ANNUAL VISIT TO THIS CENTER. CHILDREN & STAFF RECORDS WERE REVIEWED. FIRE DRILL & SIGN IN/OUT LOGS AND CHILDREN'S ROSTER WERE REVIEWED. CENTER IS NOT PROVIDING ANY MEDICATIONS TO CHILDREN. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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 PROPER FOOD GROUPS ARE SERVED FOR SNACK &/OR LUNCH. CLEANSERS & MEDICINES WERE KEPT OUT OF REACH OF CHILDREN. THERE IS A SMOKE/CARBON MONOXIDE DETECTOR. 1ST AID KIT WAS INSPECTED. STAFF 1ST AID/CPR CERTIFICATES ARE CURRENT. GROUNDS WERE INSPECTED. DIRECTOR IS AWARE OF THE IMMEDIATE $150.00 CIVIL PENALTY FOR A REPEAT TYPE A DEFICIENCY WITHIN 12 MONTHS & THE UP TO $500.00 CIVIL PENALTY FOR FAILURE TO OBTAIN FINGERPRINT & CHILD ABUSE CLEARANCES FROM THE DEPT OF JUSTICE FOR ANY NEW STAFF PRIOR TO HAVING CONTACT WITH CHILDREN. DIRECTOR REMINDED TO CHECK THE QUARTERLY UPDATES/tools & resources ON LICENSING'S WEBSITE (www.ccld.ca.gov) FOR LAW CHANGES. FACILITY STAFF NOTIFIED OF THEIR APPEAL RIGHTS TO SEND A WRITTEN LETTER TO LICENSING WITHIN 15 BUSINESS DAYS TO DISPUTE ANY FUTURE CITED DEFICIENCIES.

A review of records indicate that all facility staff or other individuals who required caregiver background checks have received criminal record & child abuse index clearances or exemptions.
Notice of site visit form was posted by the front door & must remain posted for 30 days. Failure to do so will result in a $100 civil penalty fine.
Licensee also made aware that parents are to receive a copy of any future cited Type A deficiency inspection report & that a parents' signed "Acknowledgement of Receipt of Licensing Report" form is to be kept in each child's file.
SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Al WongTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2017
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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