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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417033
Report Date: 09/24/2021
Date Signed: 09/24/2021 01:06:14 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:FREMONT PARENTS NURSERY SCHOOLFACILITY NUMBER:
013417033
ADMINISTRATOR:MILLER, JESSICAFACILITY TYPE:
850
ADDRESS:4200 ALDER AVENUETELEPHONE:
(510) 793-8531
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:24CENSUS: 7DATE:
09/24/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Jessica MillerTIME COMPLETED:
01:20 PM
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On September 24, 2021 at approximately 8:15am, LPA Haderer arrived unannounced for an annual inspection for compliance to Health and Safety. The new CARE tool was used for the inspection. Present for the inspection today was the site director Jessica Miller, one teacher Stacy Gohman, 6 parents and 7 children in care. The facility operates as a parent co-op. Hours of operation are 9:00am to 3:30pm

The facility is operated on the west side of Oliveira elementary school and is completely independent with a perimeter fence and private opening gates/doors to the facility. There is a single building with a large outside play area including a sturdy play structure. All 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 under a large shade sail covering the patio area. Teachers and parents are always present.



The facility has a two fully charged fire extinguishers, a 3A40BC mounted on the wall of the classroom and a 2A10BC mounted on the wall in the kitchen. The last annual inspections were done 8/04/2021. There is a working carbon monoxide and smoke detectors (both tested and working). Heating and ventilation is acceptable.

Thee school does not provide lunches but some snacks are available if a child forgot their food or is hungry. 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.

There is a child’s bathroom in the classroom with 2 toilets and 2 hand washing sinks. The sinks have functioning water taps with appropriate hand washing signs. There are enough towels and soap supplies. All toilets, handwashing and cleaning areas are in safe and sanitary operating condition.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: FREMONT PARENTS NURSERY SCHOOL
FACILITY NUMBER: 013417033
VISIT DATE: 09/24/2021
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Disaster drills are conducted every month. Due to Covid, the center was closed until two weeks ago. A disaster drill is planned for week of 9/27 and one will be done every 6 months.

The sign in/out sheets were reviewed. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. The facility has two children that require incidental medication (EpiPen’s). Medications are stored in a cabinet in the off-limits kitchen. Medications were checked and all are current, nothing expired.

Children's records were reviewed: There was no official roster, LPA provided site director with a blank copy to fill out. All files selected were reviewed and some were missing documents. Since school just opened, a technical assistance was issued.

Staff files were reviewed. All staff subjected to criminal review have been cleared and associated to the facility. All files were reviewed, there were some missing documents, a technical assistance was issued.

All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; daily activity schedules. There are no waivers for this facility.

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

Site 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.

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

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: FREMONT PARENTS NURSERY SCHOOL
FACILITY NUMBER: 013417033
VISIT DATE: 09/24/2021
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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 were cited today. A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with the Site Director Jessica Miller.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
LIC809 (FAS) - (06/04)
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