<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422002
Report Date: 04/28/2022
Date Signed: 04/28/2022 05:31:53 PM


Document Has Been Signed on 04/28/2022 05:31 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 STE 1102
OAKLAND, CA 94612



FACILITY NAME:SPARKLE MONTESSORI INC.FACILITY NUMBER:
013422002
ADMINISTRATOR:SAIYED, MUGISAFACILITY TYPE:
850
ADDRESS:37211 FREMONT BLVD UNITS A&BTELEPHONE:
(510) 818-7119
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:72CENSUS: 51DATE:
04/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH: Nishat KumarTIME COMPLETED:
05:45 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 April 28 at approximately 1:30pm, LPA Haderer arrived unannounced for an annual inspection for compliance to Health and Safety. The new CARE tool was used for the inspection. Present for the inspection was the site director Nishat Kumar, 10 staff members with 51 children in care (18 months to 5 ½ years old). There is a toddler option as well and hours of operation are 8:30am to 6:00pm.

There are 4 classrooms: 1 classroom for toddlers age 18 to 36 months; 3 classrooms for preschool children (one classroom for age 2 to 3 ½; one classroom for 3 ½ to 4; one classroom for 4 to 4 ½ and 4 ½ to 5 ½). LPA observed that all preschool rooms are clean and safe for all children and staff. Drinking water is readily available for the children in each room (they also bring their own water bottles from home). Water is available at all times outside.



In the toddler room, sleep logs are maintained and 15 minute checks are completed and documented daily.

The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. There were no hazardous items/toxins observed to be accessible to children in care today. There are no bodies of water accessible to children in care.

LPA observed solid waste containers with tight-fitting lids. The facility has three fully charged 3A40BC fire extinguishers, the last annual inspection was completed on 4/4/2022. Carbon monoxide and smoke detectors were available, tested and working. Heating and ventilation is acceptable. Disaster drills are conducted every month, the last drill was conducted 4/21/2022.

Any medications at the facility are stored in high cupboards away from children’s access. Medications were checked and all have required signed parental forms. There were no expired medications found.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SPARKLE MONTESSORI INC.
FACILITY NUMBER: 013422002
VISIT DATE: 04/28/2022
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
26
27
28
29
30
31
32
There is one large children’s bathroom with 5 toilets and 5 handwashing sinks and an additional single toilet and sink bathroom for children attached to the site directors office. All sinks have functioning water taps with appropriate hand washing signs. There are enough towels and soap supplies. All toilets, handwashing and cleaning areas are in safe and sanitary operating condition. Toddlers that need a diaper change is done in the classrooms.

LPA observed sufficient pads for the children to sleep. Site director stated that bed sheets were taken home and washed by parents once every week. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. There were separate staff bathrooms not used by the children. Site Director stated that there are no weapons or firearms on the premises.



The facility provides meals and a posted menu was available. Food and beverages in the kitchen were checked and none were expired.

The playground is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate rubber cushioned material that absorbs a fall and enclosed within the school property, surrounded by a fence covered in material to provide privacy. Ample shade is available for the children in the play areas and teachers are always present. For some classrooms personal water bottles travel with the children to the outside area.

The sign in/out sheets were reviewed and are accurate.

Children's records were reviewed: LPA requested and reviewed facility roster. All files selected were complete and up to date. Staff files were reviewed. Opening and closing staff have current CPR and first aid training. All staff have current Mandated Reporter certificates. All staff subjected to criminal review have been cleared and associated to the facility. All files were complete, up to date and found to be in compliance with Title 22 regulations. Immunization records were available showing all teachers files were complete.

All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules. There is a posted waiver for this facility for the playground space to be alternated to limit the number of children.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SPARKLE MONTESSORI INC.
FACILITY NUMBER: 013422002
VISIT DATE: 04/28/2022
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
26
27
28
29
30
31
32
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 (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

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.

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.

There were no deficiencies issued today. This report will remain on file for 3 years.



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 Nishat Kumar.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3