Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517312
Report Date: 09/06/2017
Date Signed 09/06/2017 03:19:19 PM

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:NEIGHBORHOOD KIDS' CORNERFACILITY NUMBER:
410517312
ADMINISTRATOR:MCAFEE, SUSANFACILITY TYPE:
840
ADDRESS:3790 RED OAK WAYTELEPHONE:
(650) 365-6117
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:60CENSUS: 58DATE:
09/06/2017
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Susan McAfeeTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Rodriguez conducted an unannounced case management inspection and met with Susan McAfee today. The purpose of this inspection was explained. This facility submitted the necessary paperwork to increase its capacity from 60 to 90 school age children. A granted superintendent certificate was issued to this facility granting the increase. This facility currently operates on an existing functioning school site. A fire clearance was submitted on August 11, 2017 for the increase. LPA inspected the licensed areas for health and safety hazards today. The additional classroom added for the increase of capacity is room 21. The other classrooms currently licensed as of now are: rooms 22, 24, and 23 A. LPA observed no hazards in the new classroom. A functioning carbon monoxide detector has been placed in the room and the hand sanitizer bottles and fluids have been placed high up on shelves.

Furthermore this school site has recently received a routine fire inspection. A copy of this fire inspection will be submitted into the licensing office for review.

Based on today's inspection LPA will be granting a provisional license granting the increase from 60 to 90 once the copy of the fire inspection has been received. The formal license will be granted when the original fire clearance that was submitted on August 11, 2017 has been granted and mailed back to the licensing office.

No citations given today.

This report was read and reviewed by Sue and a copy provided. Notice of site visit was observed posted.
SUPERVISOR'S NAME: Suzanne Roman-ClarkTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Adam R RodriguezTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2017
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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