013422413-7-29-2022-52-CC-RHAR-CGSTJ5-20220729144546

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422413
Report Date: 07/29/2022
Date Signed: 07/29/2022 02:45:55 PM

Document Has Been Signed on 07/29/2022 02:45 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 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: 150	DATE:	07/29/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Rania Al-Nazer		TIME COMPLETED:	02:45 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 July 29, 2022 at approximately 9:55am Licensing Program Analyst (LPA) Russ Haderer arrived unannounced to conduct and annual inspection for health and safety. LPA met with Site Director, Rania Al-Nazer and toured all areas licensed for use by children in care. Present for today's inspection were 20 staff members (16 teachers) and 150 children (ages 2 to 6). All ratios were correct. All adults present today are background check cleared and associated to the facility. The facility is a single-story building with 9 classrooms (rooms 2-10) and 3 outside playground areas. 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. All required posted documents were found to be in compliance and prominently posted in public places. The facility uses an electronic sign in/out tablet. All children in care today were accounted for. There are 3A40BC fully charged fire extinguishers in each classroom, the entry/office area and kitchen. They were last serviced on 6-14-2022, all are fully charged. Rooms have working carbon monoxide detectors (tested and working) and smoke alarms (all tested and passed inspection by Trojan Systems on March 1, 2022). Disaster drills are conducted once per month, the last drill was conducted July 20, 2022. 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 in contact with other blankets.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

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: 07/29/2022

NARRATIVE

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Uncontaminated drinking water is readily available both indoors and out. Heating and ventilation are acceptable. There are sufficient towels, hand soap and 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 childproof 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 food prep kitchen area is attached to the lobby are and off limits to children. Cleaning chemicals and other cleaners are stored out of reach of children. The school does not currently provide lunch, snacks are provided with posted menus. Food stocks were checked, and nothing was expired.

LPA reviewed random files of students and staff present during LPA's visit. All files checked were found to be complete and in good order and in compliance with Title 22 requirements.

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: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

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: 07/29/2022

NARRATIVE

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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.

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 given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Site Director Rania Al-Nazer

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

LIC809 (FAS) - (06/04)

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