013413923-7-22-2021-52-CC-RHAR-C56VE9-20210722162157

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013413923
Report Date: 07/22/2021
Date Signed: 07/22/2021 04:22:06 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	NURTURE KIDS PRESCHOOL		FACILITY NUMBER:	013413923
ADMINISTRATOR:	RELAN, SHASHI		FACILITY TYPE:	840
ADDRESS:	38000 CAMDEN STREET		TELEPHONE:	(510) 797-2222
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	23	CENSUS: 0	DATE:	07/22/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Ruby Masih		TIME COMPLETED:	04:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On July 22, 2021 at approximately 12:40pm Licensing Program Analyst (LPA) Russ Haderer arrived to conduct an unannounced random annual site inspection for this school age facility. LPA met with facility director, Ruby Masih and toured all areas licensed for use by children in care for a health and safety inspection. There were no (school-age) children in care today, the school is temporarily not operating due to covid concerns of parents. Adults present are background cleared and associated to this facility. The facility is a single story building with a patio area and a large playground in the back. There are two sister schools operating at this location, the other facility (013413922) is a three room facility for preschool children and currently operating at a smaller capacity. The facility (013413923) consists of a single classroom known as the “Stars” room. It has a separate girls and boys bathrooms, both functioning properly. There are sufficient amount of towels, soap and diaper supplies. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition. There is a shared outside playground area for use by both licenses at different times. There is a 2A10BC fire extinguisher fully charged and last serviced on Feb 2021. The room has a working smoke detectors and carbon monoxide detector (tested and working). Heating and ventilation is acceptable. The school does not currently provide any lunch or snacks.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NURTURE KIDS PRESCHOOL	FACILITY NUMBER: 013413923
	VISIT DATE: 07/22/2021

NARRATIVE

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The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. There were no hazardous items/toxins observed to be accessible to children in care today. There are no bodies of water accessible to children in care. All hazardous materials and toxins are kept out of the reach of children.

The facility uses an electronic sign in/out tablet. No children in care today (since March 2020). Classrooms have touchless trash cans with tight fitting cover for the disposal of solid waste. The facility does not have any children that require incidental medication (EpiPen’s, inhalers and anti-histamines for allergies).

The playground area is surrounded by a 6 foot privacy fence and 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.

All required posted documents were found to be in compliance and prominently posted in public places.

No deficiencies were found at facility during today’s inspection.

A Site Visit notice was printed and must be posted for 30 days. A copy of this report to remain on file for 3 years. Exit interview was conducted with site Director.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021

LIC809 (FAS) - (06/04)

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