013422413-8-18-2021-52-CC-RHAR-C5ZU9K-20210818152318

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422413
Report Date: 08/18/2021
Date Signed: 08/18/2021 03:23:30 PM

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 NILES, INC.		FACILITY NUMBER:	013422413
ADMINISTRATOR:	AL-NAZER, RANIA		FACILITY TYPE:	850
ADDRESS:	35699 NILES BLVD.		TELEPHONE:	(510) 648-2939
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	229	CENSUS: 133	DATE:	08/18/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Rania Al-Nazer		TIME COMPLETED:	03:30 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 August 18, 2021 at approximately 10:55am Licensing Program Analyst (LPA) Russ Haderer arrived to conduct an unannounced 1-Year Required site inspection for this preschool facility. LPA met with facility director, Rania Al-Nazer and toured all areas licensed for use by children in care for a health and safety inspection. Present at today's visit were 23 staff members and 133 (92 preschool 41 toddlers). All ratios were correct. All adults present were background check cleared and associated to the facility. The facility is a single-story building with 9 classrooms (room 2-10) and 3 outside playground areas. The food prep kitchen area is off limits to children, there were no sharp knives observed in the kitchen today. Cleaning chemicals and other cleaners are stored out of reach of children. The facility uses an electronic sign in/out tablet. All children in care today were accounted for. Classrooms have touchless trash cans with tight fitting covers for the disposal of solid waste. The facility has children that require incidental medication (EpiPen’s, inhalers and antihistamines for allergies). All medicines were available, including proper documentation. All medications and over the counter antihistamines were checked and none were expired. The children's napping areas are clean and organized with sleeping pads and cubbies for the children's personal items, none of the children's blankets were touching.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

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 NILES, INC.	FACILITY NUMBER: 013422413
	VISIT DATE: 08/18/2021

NARRATIVE

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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. All hazardous materials and toxins are kept out of the reach of children.

There is either a 2A10BC or 3A40BC fully charged fire extinguisher in each classroom, the entry/office area and kitchen. They were last serviced on June 22, 2021 and all are fully charged. Rooms have working carbon monoxide detectors (tested and working) and smoke alarms (all inspected and tested by Trojan Systems on April 14, 2021). Copy of fire alarm inspection in file. Disaster drills are conducted once per month, the last drill was conducted July 22, 2021.

All classrooms have storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Uncontaminated drinking water is readily available both indoors and out. Children also bring their own bottled water from home and it is made available to them. Heating and ventilation are acceptable. There are sufficient amount of towels, soap and diaper supplies at all sinks. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition.

The playground area is surrounded by chain link fencing with self-closing doors and child-proof openers. 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. Shade was available in the play areas and teachers are always present.

The school does not currently provide lunch, snacks are provided, and all food stocks were checked, and nothing was expired.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

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 NILES, INC.	FACILITY NUMBER: 013422413
	VISIT DATE: 08/18/2021

NARRATIVE

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LPA reviewed random files of students and staff present during LPA's visit. Each staff file reviewed contained the appropriate health screening and criminal record clearance. Each children's file reviewed contained the appropriate medical assessment and emergency information form. Every file reviewed was 100% complete.

All required posted documents were found to be in compliance and prominently posted in public places.

No deficiencies were found at facility during today’s inspection. A copy of this report to remain on file for 3 years. A Notice of Site Visit was printed and must be posted for 30 days.

Exit interview was conducted with site Director.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021

LIC809 (FAS) - (06/04)

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