013422496-8-31-2022-52-CC-AWRT-CHTV4B-20220831160604

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422496
Report Date: 08/31/2022
Date Signed: 08/31/2022 04:06:11 PM

Document Has Been Signed on 08/31/2022 04:06 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:	LEARNING KIDS MONTESSORI INC.		FACILITY NUMBER:	013422496
ADMINISTRATOR:	JAGGA, URVASHI		FACILITY TYPE:	840
ADDRESS:	1481 MOWRY AVENUE		TELEPHONE:	(510) 742-5437
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	15	CENSUS: 2	DATE:	08/31/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Urvashi Jagga		TIME COMPLETED:	04:10 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 31st, 2022, Licensing Program Analyst (LPA) April Wright arrived at 11:50am for an unannounced Required-1 Year inspection, and met with Director Urvashi Jagga. There were two (2) TK children and ten (10) fingerprint cleared staff members present during the inspection. Facilty has dual licensee. 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: Four (4) classrooms were inspected (Ladybug, Butterfly (TK included), Ant, and Busy Bee). 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 Director's office away from other children in care. The center has smoke detectors, working telephone, and four (4) fully charged 3A40BC fire extinguishers in each classroom. There are two (2) staff bathrooms located in lobby. Children's bathrooms are clean and sanitary. All sinks and faucets are in safe and sanitary operating condition. FOOD SERVICE AREAS: This facility provides 3 snacks and lunch daily. There are monthly menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair. OUTDOOR PLAY AREAS: There are 2 play yards for children in care (toddler/preschool/TK) that have play structures with slides, has cushioning to absorb falls and is anchored for stability. There are also 3 canopy's that provides shade to children while at play. There are no pools, hot tubs or other accessible bodies of water. See LIC809-C for continuance

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: LEARNING KIDS MONTESSORI INC.	FACILITY NUMBER: 013422496
	VISIT DATE: 08/31/2022

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
26
27
28
29
30
31
32

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Two (2) 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 8/31/2022. All required documents are posted in a public accessible area.

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 .

Incidental Medical Services (IMS) policy was discussed. No IMS being provided. 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

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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was review with Director Urvashi Jagga.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2