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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422412
Report Date: 08/27/2024
Date Signed: 08/27/2024 12:36:58 PM

Document Has Been Signed on 08/27/2024 12:36 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LEARN AND PLAY MONTESSORI MAPLE, INC.FACILITY NUMBER:
013422412
ADMINISTRATOR/
DIRECTOR:		DOGRA, RADHIKAFACILITY TYPE:
850
ADDRESS:37220 MAPLE ST.TELEPHONE:
(510) 713-2402
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 74TOTAL ENROLLED CHILDREN: 71CENSUS: 42DATE:
08/27/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Radhika DograTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On August 27, 2024 8:30am, Licensing Program Analyst (LPA) Miranda arrived unannounced for an annual inspection for compliance to Health and Safety. Present for the inspection was the site director Radhika Dogra; 10 teachers; one administrative staff; and 42 children in care (all preschool age). The facility is in ratio today.

The facility has 5 classrooms. To consolidate children due to low August enrollment, Classrooms 3 and 5 are combined AND Classrooms 4 and 1 are combined. There is also a small kitchen/food prep area, 2 children’s bathrooms; staff bathroom, and outside playground area.



Sign in/out sheets are done electronically through Lineleader. All children present were signed in. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. The facility provides incidental medical services for inhalers for children in care. Medications were checked, safely stored, and medications were not expired.

The playground area is surrounded by a 6-foot fence covered with a material to provide privacy. There are sturdy play structures, LPA observed that all play equipment is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. There is water available for the children and they also bring their own bottled water to school. Shade is available in the playground area; 4 teachers are always present when the children are outside.

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. Hazardous items/toxins are kept out of the access of children. There are no bodies of water accessible to children in care. The facility provides snacks for the children, menus were appropriately posted throughout the facility. All snack food was checked and not expired.
Wynn Norona
Randy Miranda
DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LEARN AND PLAY MONTESSORI MAPLE, INC.
FACILITY NUMBER: 013422412
VISIT DATE: 08/27/2024
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Children’s bathrooms are available in the facility, there are enough paper towels and soap supplies. The staff have separate adult bathroom located in the facility.

The facility has fully charged 2A10BC and 3A40BC fire extinguishers in the hallway and classrooms. The last annual inspection was done 04/26/2023. Arrow Fire Protection conducts the fire systems inspections, the last inspection was completed on 09/11/2023 and all smoke detectors and the fire system are in good working order and passed inspection. Carbon monoxide detectors are present, tested and functioning. Heating and ventilation in the classroom is acceptable. Fire and Earthquake disaster drills are conducted monthly, the last drill was conducted 8/14/2024.

Children’s files were reviewed and found to be complete and in good order. Staff files were reviewed. All staff files are complete and in good order.

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.

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

Site 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.

SUPERVISOR'S NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LEARN AND PLAY MONTESSORI MAPLE, INC.
FACILITY NUMBER: 013422412
VISIT DATE: 08/27/2024
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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. Appeals Rights Provided.



Exit interview conducted and report was reviewed with the Site Director Radhika Dogra.
SUPERVISOR'S NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
LIC809 (FAS) - (06/04)
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