013420906-12-15-2022-52-CC-AWRT-CM5T4W-20221215132437

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420906
Report Date: 12/15/2022
Date Signed: 12/15/2022 01:24:42 PM

Document Has Been Signed on 12/15/2022 01:24 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:	LITTLE FLOWERS MONTESSORI		FACILITY NUMBER:	013420906
ADMINISTRATOR:	MAHAJAN, GAURI		FACILITY TYPE:	850
ADDRESS:	4343 STEVENSON BLVD		TELEPHONE:	(510) 651-2605
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	100	CENSUS: 54	DATE:	12/15/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Gauri Mahajan		TIME COMPLETED:	01:35 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 December 15th, 2022 @ 10:15 am, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Required-1 Year inspection, and met with director Gauri Mahajan. Present today were 54 children and 13 fingerprint cleared staff members present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 8:30am to 6:00pm. CLASSROOMS: Center has 5 classrooms (Daisy, Lily, Orchid, Jasmine and Lavender). There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is with the administrator in front front lobby, away from other children in care. The center has smoke detectors/carbon monoxide, working telephone, and 2 fully charged 2A10BC fire extinguishers. At least one person trained in CPR/First aid is present when children are at the facility. BATHROOMS AND DIAPER CHANGING AREAS: The staff's bathroom is separate from the classroom and are clean, sanitary and in good condition. Changing stations are in the toddler classroom only. All sinks and faucets are in safe and sanitary operating condition. FOOD SERVICE AREAS: Facility provides breakfast, lunch and snacks to children in care. There are weekly menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair Facility has a kitchen for food preparation with refrigerator that is clean and free of evidence of rodents, vermin or insects. OUTDOOR PLAY AREAS: Center has 2 yards, one for toddlers and one for preschool children which are fenced/gated. There play structures with slide that has cushioning to absorb falls and that is anchored for stability. There's also a canopy that provides shade to children while at play. There are no pools, hot tubs or other accessible bodies of water. Per Director, there are no weapons or firearms present at the facility. See LIC809-C for continuance

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022

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

FACILITY NAME: LITTLE FLOWERS MONTESSORI	FACILITY NUMBER: 013420906
	VISIT DATE: 12/15/2022

NARRATIVE

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RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Ten (10) children's files and thirteen (13) staff files were reviewed, along with director's file. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. Mandated Reporter Training and CPR and First Aid certificates were reviewed and are up to date. The center is in compliance with the sign in and out procedure via ProCare. Disaster drills are being conducted at least once every 6 months and the last one conducted for Fire on 8/24 and Earthquake on 12/8/2022. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: IMS IS PROVIDED AT THIS FACILITY. Medications and plans reviewed for TWO (2) children in care. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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
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 .

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.

LPA discussed the safe sleep regulations with licensee [or 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.

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 Director Gauri Manajan.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022

LIC809 (FAS) - (06/04)

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