013417033-8-4-2022-52-CC-RHAR-CGYRE9-20220804125710

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013417033
Report Date: 08/04/2022
Date Signed: 08/04/2022 12:57:26 PM

Document Has Been Signed on 08/04/2022 12:57 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:	FREMONT PARENTS NURSERY SCHOOL		FACILITY NUMBER:	013417033
ADMINISTRATOR:	MILLER, JESSICA		FACILITY TYPE:	850
ADDRESS:	4200 ALDER AVENUE		TELEPHONE:	(510) 793-8531
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	24	CENSUS: 14	DATE:	08/04/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jessica Miller		TIME COMPLETED:	01:05 PM

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On August 4, 2022 at approximately 9:00am, LPA Haderer arrived unannounced for an annual inspection for Health and Safety. Present for the inspection today was the site director Jessica Miller, teacher Kavitha Viswanathan, 6 parents and 14 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, completely independent with a perimeter fence and private opening gates/doors to the facility. It is a single classroom building with a classroom, office, kitchen, children’s bathroom and a separate bathroom/storage area for the adults. The child’s bathroom has 2 toilets and 2 hand washing sinks. 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.

The facility has a large outside play area with areas for play and a sturdy play structure. All are 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 is available under the newly built shade structure attached to the south side of the building over the patio area. Teachers and parents are always present.

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; menus; daily activity schedules. There are no waivers for this facility.

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). Disaster drills are conducted at least once every 6 months. The last drill was completed on June 13, 2022.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

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: FREMONT PARENTS NURSERY SCHOOL	FACILITY NUMBER: 013417033
	VISIT DATE: 08/04/2022

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The school does not provide lunches. Snacks and water bottles are brought in by the children. 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, heating and ventilation is acceptable. 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.

The sign in/out sheets were reviewed, children signed in were present. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. The facility has one child that requires incidental medication (EpiPen’s). Medications are stored in an upper cabinet with the first aid kit in the off-limits kitchen. Medications were checked and all are current, nothing is expired.

Children's records were reviewed. A roster was reviewed, and a copy taken. All files reviewed were complete and in good order.

Staff files were reviewed. All staff subjected to criminal review have been cleared and associated to the facility. All files were complete and in good order.

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.

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 Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

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: FREMONT PARENTS NURSERY SCHOOL	FACILITY NUMBER: 013417033
	VISIT DATE: 08/04/2022

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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 issued 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 Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2022

LIC809 (FAS) - (06/04)

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