013419470-8-11-2022-02-CC-ILOA-CH7SY4-20220811141655

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419470
Report Date: 08/11/2022
Date Signed: 08/11/2022 02:17:12 PM

Document Has Been Signed on 08/11/2022 02:17 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	AMERICAN INTERNATIONAL MONTESSORI SCHOOL		FACILITY NUMBER:	013419470
ADMINISTRATOR:	TAKAGI, SAKIKO/MAHR, ERNIE		FACILITY TYPE:	850
ADDRESS:	3339 MARTIN LUTHER KING JR WAY		TELEPHONE:	(510) 868-1815
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94703
CAPACITY:	117	CENSUS: 0	DATE:	08/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:19 AM
MET WITH:	Ernie Mahr and Sakiko Takagi		TIME COMPLETED:	02:25 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 August 11, 2022 at 9:19am , Licensing Program Analyst (LPA) Indira Loza met with Director Ernie Mahr and Assistant Director Sakiko Takagi for an Unannounced Required Annual Inspection. There were no children present during today's visit. The center was toured for a health and safety inspection. The facility operates from 8:00am – 6:00pm Monday through Friday. The facility operates in five classrooms in a two story building where there is also a private elementary school on site. There are four classrooms on the first floor, two of the classrooms are for Toddlers aged 18 months to 30 months; and the other two classes are for children aged 31 months to 6 years old.CLASSROOMS: The classrooms were inspected and there were play and learning materials available for the children. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. Drinking water is available inside and outside of the center. The isolation area for sick children is in the small office next to the stairs on the first floor and away from other children in care. The center has a smoke detector, a carbon monoxide detector, working telephone, pull down fire alarm system, and one fully charged 2A10BC fire extinguisher, as well as an industrial sized fire extinguisher in the kitchen. FOOD SERVICE AREAS: This facility provides lunch and snacks for the children. There are weekly menus posted at the entrance. All storage containers for solid waste have tight fitting covers that are in good repair. OUTDOOR PLAY AREAS: The playground has shade over the play structure to keep children cool. The play structure is anchored to the ground and also has cushioning to absorb falls. BATHROOMS AND TOILETING AREAS: This facility has separate bathrooms for the children and the staff. All sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. Supplies are available to the children. RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Children's files and staff files were ***********************************************Report Continues on 809-C*********************************************

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: AMERICAN INTERNATIONAL MONTESSORI SCHOOL	FACILITY NUMBER: 013419470
	VISIT DATE: 08/11/2022

NARRATIVE

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At least one opening/ closing staff member has a current CPR & First Aid Certificate. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least once every 6 months and the last one was conducted on May 20, 2022. All required documents are posted in a public accessible area.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. (Facility does not provide care for infants).
Facility representative 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 (8000 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

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/process.

There are no deficiencies 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 facility representative Ernie Mahr.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022

LIC809 (FAS) - (06/04)

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