013422410-3-23-2023-52-CC-MOTI-CQ7S55-20230323133345

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422410
Report Date: 03/23/2023
Date Signed: 03/23/2023 01:33:59 PM

Document Has Been Signed on 03/23/2023 01:33 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:	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: 123	DATE:	03/23/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:25 AM
MET WITH:	Natasha Aguilar		TIME COMPLETED:	01:40 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	A Case Management Inspection was conducted on this date, 3/23/2023 by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with center director, Shirley Reyes, Administrator, Natasha Aguilar and Regional Director, Olabisi Adesuyifasuyi. The center has applied to add a toddler-option (18 months-36 months) to their license with no increase in the number of children they are currently licensed for. The center is requesting for up to 36 toddlers in the toddler-option program. A health and safety inspection was conducted inside and outside. The preschool program consists of 8 classrooms. Classrooms 3 and 4A/4B will serve as the toddler option classrooms. Hours of operation are from 8am-6pm, Monday through Friday. The classrooms were previously measured and there is no square footage change. Measurements are as follows: INDOORS: 7524.79 square feet = 214 children OUTDOORS: 8839.32 square feet = 117 children First aid supplies are available in the center. Facility has a functioning carbon monoxide detector, smoke detector and fire extinguisher. The preschool with a toddler-option program has 33 sinks and 19 toilets available. There is also a separate staff bathroom in the hallway. This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEARN AND PLAY MONTESSORI IRVINGTON, INC.	FACILITY NUMBER: 013422410
	VISIT DATE: 03/23/2023

NARRATIVE

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A review of staff records on 3/23/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The center has obtained an approved fire clearance from the Fremont Fire Department on 2/10/2023.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There were no deficiencies cited during this visit.

A license for 214 preschoolers, which includes up to 36 toddlers in the toddler-option program will be licensed effective today 3/23/2023.

An exit interview was conducted with Administrator, Natasha Aguilar.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

LIC809 (FAS) - (06/04)

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