013413923-6-29-2023-52-CC-RHAR-CTA2RY-20230629173820

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013413923
Report Date: 06/29/2023
Date Signed: 06/29/2023 05:38:25 PM

Document Has Been Signed on 06/29/2023 05:38 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE		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:	06/29/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Ruby Malish		TIME COMPLETED:	05:45 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 June 29, 2023 at approximately 3:30pm Licensing Program Analyst (LPA) Russ Haderer conducted an unannounced site inspection for health and safety. LPA met with facility director, Ruby Masih and toured all areas licensed for use by children in care. The center is currently not operating until later this summer. The premises are used for summer camp sessions operated under the California Dept. of Education Heritage School Program and therefore a request for Inactive Status was granted for the licensed afterschool programs. The school will return to Active Status after August 14, 2023. The hours of operation will remain 7:30am 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. A water fountain is available. Children will bring their own bottled water from home. Water lead testing was completed and no lead exceedance was found. This school age facility consists of a single “Stars” classroom and has separate girls and boys bathrooms, both functioning properly. There are sufficient amount of towels, soap. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition. The classroom has touchless trash cans with tight fitting cover for the disposal of solid waste. 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.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE	FACILITY NUMBER: 013413923
	VISIT DATE: 06/29/2023

NARRATIVE

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There is a fully charged 2A10BC fire extinguisher last serviced on April 6, 2023, and working smoke detectors and carbon monoxide detectors in the room. All required posted documents were found to be in compliance and prominently posted in public places.

Center Director’s files were reviewed and were found to be complete and in good order. CPR/1st Aid expires 11/20/2023 and Mandated Reporter certificate completed on 8/13/2021. No children’s records were reviewed.

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

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 were no deficiencies found during today’s inspection. 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 Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023

LIC809 (FAS) - (06/04)

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