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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013413922
Report Date: 06/08/2022
Date Signed: 06/08/2022 04:21:49 PM


Document Has Been Signed on 06/08/2022 04:21 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:NUTUREKIDS MONTESSORI, PRESCHOOL AND EXTENDED CAREFACILITY NUMBER:
013413922
ADMINISTRATOR:RELAN, SHASHIFACILITY TYPE:
850
ADDRESS:38000 CAMDEN STREETTELEPHONE:
(510) 797-2222
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:53CENSUS: 27DATE:
06/08/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Ruby MasihTIME COMPLETED:
02:20 PM
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On June 8, 2022 at approximately 10:20 am Licensing Program Analyst (LPA) Russ Haderer arrived to conduct an unannounced site inspection for health and safety. The new CARE tool was used for the inspection. LPA met with facility director, Ruby Masih and toured all areas licensed for use by children in care. Also present at the time of this inspection were 4 teaching staff and 27 children in care (all preschool age). The facility is within ratio and capacity. The hours of operation remain 7:00am to 6:30pm.

The facility is a single story building at the end of a small row of shops. There are two licenses operating at this location and they share the playground area. The playground is surrounded by a 6-foot privacy fence, secured with gates with inside latches too high for children to reach. All play equipment is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Shade was available in the play areas and teachers are always present. A water fountain is available, however, due to Covid, it is currently not in use. Children are bringing in their own bottled water from home.

The preschool consists of 3 classroom rooms: Little Fish; Lions 1 and Stars (formerly Lions 2). It has a shared bathroom with 5 working toilets and sinks, and an off-limits gated kitchen area for food prep that contains a refrigerator, stove, dishwasher and area for dry goods storage. There were no sharp knives observed in the kitchen today. Food was checked and not expired, however, there was a two gallon container of 2% milk found in the refrigerator. Whenever milk is served to children two years old or older it must be low fat (1 percent) milk or nonfat milk and therefore a deficiency was noted - see LIC809D. Cleaning chemicals and other cleaners are stored out of reach of children.

Sinks have functioning cold water taps with appropriate hand washing signs and sufficient amounts of towels, soap. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition. Classrooms have touchless trash cans with tight fitting cover for the disposal of solid waste.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2022
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: NUTUREKIDS MONTESSORI, PRESCHOOL AND EXTENDED CARE
FACILITY NUMBER: 013413922
VISIT DATE: 06/08/2022
NARRATIVE
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The facility is clean and well organized with age appropriate furnishings and equipment in good repair. Surfaces including floors and counter tops are clean and toxic free. There are ample age-appropriate toys that appear to be safe and in good condition. There are no bodies of water accessible to children in care. There were no hazardous items/toxins observed to be accessible to children in care today.

The sign in/out sheets are electronic and were reviewed. All children present were signed in.

There are two fully charged 2A10BC fire extinguishers last serviced on April 6, 2022, one in the kitchen prep area and one in Lions room. The rooms have working smoke detectors and carbon monoxide detectors in the ceilings. There is one restrooms for staff, separate from the children's restrooms. Heating and ventilation is acceptable.

Disaster drills are conducted once per month, the last drill was conducted April 6, 2022. All required posted documents were found to be in compliance and prominently posted in public places.



The center administers medication (EpiPen). The medication is stored in the administration office, medications were checked and are not expired. Incidental Medical Services Plan is on file. The children's napping areas are clean and organized with sleeping pads and cubbies for the children's personal items, none of the children's blankets were touching.
Staff files were reviewed. All files were complete and in good order. Center Director CPR/1st Aid expires 11/20/2023 and Mandated Reporter certificate completed on 8/13/2021. All staff had current Mandated Reporter certificates and total of 3 staff had current CPR/1st Aid certificates.

Children's records were reviewed: LPA requested and reviewed facility roster and took a copy. All children’s records were complete and in good order.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
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: NUTUREKIDS MONTESSORI, PRESCHOOL AND EXTENDED CARE
FACILITY NUMBER: 013413922
VISIT DATE: 06/08/2022
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All adults present are background cleared and associated to this facility. Center Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

There was one deficiency found during today’s inspection, see LIC809D. This report will remain on file for three years.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Center Director, Ruby Masih.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 06/08/2022 04:21 PM - It Cannot Be Edited

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: NUTUREKIDS MONTESSORI, PRESCHOOL AND EXTENDED CARE
FACILITY NUMBER: 013413922

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.808(a)(1)

1596.808 Beverages served by day care providers to children....
(a) Commencing January 1, 2012, except as provided in subdivisions (b) and (c), ....
(1) Whenever milk is served, serve only lowfat (1 percent) milk or nonfat milk to children two years of age or older.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that there was a two gallon container of 2 percent milk in the refrigerator which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/09/2022
Plan of Correction
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Center Director will dispose of the 2 percent milk and replace it with 1 percent or non-fat milk for children's consumption in the childcare center (unless subdivision (b) or (c) exists for children in care; (b) pertains to a medical need for "medical food" and signed by a physician or (c) parent or legal guardian requests and provides the beverage for their child.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2022
LIC809 (FAS) - (06/04)
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