013419440-6-5-2019-52-CC-LDYN-BCUU98-20190605152243

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419440
Report Date: 06/05/2019
Date Signed: 06/05/2019 03:22:48 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:	EIFFEL TOWER MONTESSORI PRESCHOOL & K		FACILITY NUMBER:	013419440
ADMINISTRATOR:	JEFFERIES, VERONIQUE		FACILITY TYPE:	850
ADDRESS:	493 BLANCHE STREET		TELEPHONE:	(510) 475-1762
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94544
CAPACITY:	53	CENSUS: 47	DATE:	06/05/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Veronique Jefferies		TIME COMPLETED:	03:34 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 6/5/19 at 1:40pm, Licensing Program Analyst (LPA) Loretta Dyson arrived at the center for an unannounced random inspection. LPA met with Veronique Jefferies. There were 47 preschool age children and 8 additional staff also present. The center operates Monday-Friday 7am-6pm. At 1:53pm, LPA requested and reviewed the files of 2 staff members and 8 children in care. All staff present have a criminal record clearance, have completed the required mandated reporter training and have proof of educational requirements and required immunizations. At least one opening/closing staff member has current CPR/first aid certificates. All children's files are complete, with all of the required forms. The center roster and personnel record were reviewed, and LPA obtained a copy. At 2:30pm, LPA began an inspection of the center which includes one large room that is separated into 4 classrooms by partitions, a separate classroom, one bathroom and yard. The center has adequate lighting, heating and ventilation for the safety and comfort of staff and children in care. The classroom floors and surfaces are safe, clean and in good repair. The bathroom has 4 toilets and 4 sinks which are in safe and sanitary operating condition. The center is filled with furniture, toys and activities that are age appropriate and in good condition, and there is a sufficient amount of space for children's storage. There are enough sleeping mats for the number of children in care, and they are stored appropriately. There is drinking water available for children both indoors and outdoors. Families bring food and drinks for children. The outdoor play area is fully fenced and free from defects or dangerous conditions. The playground surface and equipment appears to be safe and free from hazards. LPA observed that all areas around and under play structures are cushioned to absorb a fall. LPA did not observe any bodies of water, hazardous items or toxins accessible to children today. Per the director, there are no firearms stored on the premises. The Hayward Fire Department completed an inspection at the center on 1/15/19. Today, LPA tested the carbon monoxide detector and verified that it is working. The center has fully charged 3A40BC fire extinguishers, working telephone, and first aid supplies. continued on 809C

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

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: EIFFEL TOWER MONTESSORI PRESCHOOL & K	FACILITY NUMBER: 013419440
	VISIT DATE: 06/05/2019

NARRATIVE

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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.
The licensee stated that there are no children enrolled at this time, who require medication while in care.

Licensee is reminded that ALL Staff must be fingerprint cleared and associated to this facility prior to being in the presence of children in care, or an immediate civil penalty can be assessed from $100 to $3000 per person, per incident. LPA reviewed the individuals associated to the license, and the director confirmed that everyone who is required to have a criminal record clearance is associated.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

There are no deficiencies being cited today. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted with the director.

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

LIC809 (FAS) - (06/04)

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