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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421998
Report Date: 05/31/2024
Date Signed: 05/31/2024 04:24:40 PM


Document Has Been Signed on 05/31/2024 04:24 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 TREE MONTESSORI INTERNATIONAL SCHOOLFACILITY NUMBER:
013421998
ADMINISTRATOR:CHEN WEN, LU (JANET)FACILITY TYPE:
850
ADDRESS:39550 PASEO PADRE PKWYTELEPHONE:
(510) 790-9290
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:135CENSUS: 77DATE:
05/31/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Janet LuTIME COMPLETED:
04:30 PM
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On May 30th, 2024 at approximately 1:25pm, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Annual / Random inspection and met with center director Janet Lu. Present during the inspection were 77 preschool age children and 12 fingerprint cleared staff members. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 8:15am to 6:00pm.

CLASSROOMS/BATHROOMS/FOOD SERVICE AREAS: Five classrooms were inspected (Room A,B,C,D and T). The floors, furniture, and equipment were inspected and have no signs of defects or damage, age appropriate and in good repair. There is proper individual storage space in all classrooms for each child. There are adequate play and age appropriate learning materials available in each classroom. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. Center has drinking water available inside and outside of the center. The isolation area for sick children is the lobby area near front desk away from other children in care. The center has smoke/carbon monoxide detectors, working telephone, and eight (8) fully charged 2A10BC/3A40BC fire extinguishers in the classrooms, lobby and hallways of the facility. The staff's bathroom is separate from the children's bathroom. 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. This facility provide snacks only for children and lunch is brought in daily from home. There are weekly snacks menus posted outside each classroom and in the lobby. All storage containers for solid waste have tight fitting covers that are in good repair.

OUTDOOR PLAY AREAS: LPA inspected play yards to ensure there were no hazards or damage/defects to structures or equipment. Facility has two (2) play yards separated by grass areas for children in care. There are two (2) play structures with a slides that has wood chip cushioning to absorb falls is anchored for stability. Per Director and LPA observation there are no pools, hot tubs or any bodies of water at this facility. See LIC809C for continuance.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


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 TREE MONTESSORI INTERNATIONAL SCHOOL
FACILITY NUMBER: 013421998
VISIT DATE: 05/31/2024
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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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301(voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Center Director Janet Lu.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
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 TREE MONTESSORI INTERNATIONAL SCHOOL
FACILITY NUMBER: 013421998
VISIT DATE: 05/31/2024
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RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. LPA reviewed eight (8) children's files and twelve (12) staff files including directors file. All staff files have required forms including Health screening and Employee Rights. Mandated Reporter Training and CPR/First Aid certificates were reviewed and are current. All children's files contain Identification & Emergency information, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. 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 conducted was on 2/20/2024. All required documents are posted in a the center lobby for public accessibility. Center has at least one opener/closer with current CPR/First Aid certificate and is present when children are at the facility. Per Center Director, there are no transportation services provided at this facility. Per Center there are no weapons or firearms at the facility.

Center Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives
outlined in PIN 21-21.1-CCP. PIN 22-05-CCP



See LIC809C for continuance
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3