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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420951
Report Date: 08/12/2021
Date Signed: 08/12/2021 12:57:06 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:GLOBAL MONTESSORI INTERNATIONAL SCHOOLFACILITY NUMBER:
013420951
ADMINISTRATOR:TENG, VIVIFACILITY TYPE:
850
ADDRESS:2830 - 9TH STTELEPHONE:
(510) 845-6969
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:90CENSUS: 36DATE:
08/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Vivi TengTIME COMPLETED:
01:10 PM
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On 08/12/2021, Licensing Program Analyst (LPA) Brittany Newton conducted an unannounced visit for the purpose of conducting a required health and safety inspection. LPA was met by director Vivi Teng. Present for the inspection was 36 preschool children. LPA toured the facility with the director.
The facility currently operates in 4 classrooms. The classrooms are separated by 2's, 3's, 4's and 5 year olds. LPA toured each classroom. Each classroom had age appropriate toys. Furnishings were observed in safe condition. The facility has pet birds in some of the classrooms that are in a cage. Bathrooms are available near each classroom and were observed with soap and paper towels available for children.
Outdoor play area was inspected and found in safe operating condition. Cushion is available to absorb a fall. Drinking water is available. LPA observed a garden area that children work on at the facility. Additionally, the children are growing grapes throughout the outdoor area. LPA interacted with children and children were happy and engaged upon observation.
Staff files and children files were reviewed and had required forms. Sign in/out was reviewed. CPR and first aid is current for staff on site, expiring 09/21/2021. LPA observed multiple 2A10BC fire extinguishers. The facility has been conducting fire drills with the last one being 07/15/2021. LPA obtained a copy of the child care roster and personnel report.

LPA provided facility with guardian information and COVID-19 flyers. Facility is reminded that ALL assistants, volunteers, frequent visitors, or adults that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.
No deficiencies cited at this visit. Exit interview conducted, appeal rights provided, and a copy of this report was left with Vivi Teng.

A notice of site visit was given and facility was reminded that it must remain posted for 30 days.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Brittany NewtonTELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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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