013422410-4-28-2023-52-CC-AWRT-CRBSDK-20230428134715

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422410
Report Date: 04/28/2023
Date Signed: 04/28/2023 03:13:03 PM

Document Has Been Signed on 04/28/2023 03:13 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:	LEARN AND PLAY MONTESSORI IRVINGTON, INC.		FACILITY NUMBER:	013422410
ADMINISTRATOR:	REYES, SHIRLEY		FACILITY TYPE:	850
ADDRESS:	40803 FREMONT BLVD.		TELEPHONE:	(510) 573-0071
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	214	CENSUS: 156	DATE:	04/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Selva Namokarean		TIME COMPLETED:	01:45 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 28th, 2023 at approximately 9:35am, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Required-1 Year inspection, and met with Center director Selva Namokarean. Present today were 156 children (preschool/toddlers) and twenty-one (21) 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, 8:00am to 6:00pm. CLASSROOMS: Center has eight (8) classrooms. 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 the center office and isolation bathroom, which away from other children in care. The center has smoke/fire detectors, working telephone, and three (3) fully charged 3A40BC fire extinguishers located in lobby area and hallway. At least one person trained in CPR/First aid is present at the facility when children are present. BATHROOMS AND DIAPER CHANGING AREAS: The staff's bathroom is separate from the classroom and are clean, sanitary and in good condition. There a one (1) changing station in the classroom 3 for toddlers usage. All four (4) children's restrooms sinks and faucets are in safe and sanitary operating condition. . FOOD SERVICE AREAS: This facility provides snack only (am/pm) to children in care. There are weekly snack menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair. Facility has a refrigerator which is clean and free of evidence of rodents, vermin or insects. See LIC809C for continuance....

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

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: LEARN AND PLAY MONTESSORI IRVINGTON, INC.	FACILITY NUMBER: 013422410
	VISIT DATE: 04/28/2023

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OUTDOOR PLAY AREAS: Children's yard has section for toddlers. There's two (2) a play structures in main play yard with slides that has wood chip cushioning to absorb falls and that is anchored for stability. There's also a canopy/building overhang that provides shade to children while at play. There are no pools, hot tubs or other accessible bodies of water.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Fifteen (15) children's files and ten (10) 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 was on 4/19/2023. 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. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s files and administrative records. 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 .

See LIC809C for continuance..

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

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: LEARN AND PLAY MONTESSORI IRVINGTON, INC.	FACILITY NUMBER: 013422410
	VISIT DATE: 04/28/2023

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Center 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 Director 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 Director 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.

All forms can be downloaded at www.ccld.ca.gov

Center Director was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

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 Center Director Selva Namokarean.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

LIC809 (FAS) - (06/04)

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