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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423034
Report Date: 12/01/2021
Date Signed: 12/01/2021 06:11:30 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:SPARKLE MONTESSORI-2FACILITY NUMBER:
013423034
ADMINISTRATOR:KUMAR, NISHATFACILITY TYPE:
850
ADDRESS:37217 FREMONT BLVD. S# C,D,E,FTELEPHONE:
(510) 320-3799
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:57CENSUS: 5DATE:
12/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Nishat KumarTIME COMPLETED:
06:15 PM
NARRATIVE
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On December 1, 2021 at approximately 1:00pm, LPA Haderer arrived unannounced for an annual inspection for compliance to Health and Safety. The new CARE tool was used for the inspection. Present for the inspection was Karen Chang from CCLD, the site director Nishat Kumar, Juliet Rose, and 2 teachers and 5 children in care. The center currently operates from 7:00am to 6:00pm.

The facility is a single-story building with a playground in the back. There are three rooms available in the facility for children (Room 1, Room 2 and Room 3). Room 1 is not opened yet as it waits for enrollment of toddlers. Rooms 2 and 3 are in operation, Room 2 for preschool ages 2 1/2 to 3 1/2 and Room 3 for pre-kindergarten ages 3 1/2 to 5 years. There are two restrooms for staff, separate from the children's restrooms. Heating and ventilation was acceptable.

The facility has 2 fully charged 3A40BC fire extinguishers, one mounted in Classroom 1 and another in classroom 3 next to each door in the classroom. The last annual inspection was done 2/8/2021. SAFCO Sound and Security Systems conducts fire inspections, the last inspection was completed 8/25/2021. The carbon monoxide detectors are mounted in the ceilings throughout the facility. Batteries had run down, but replacements were made for the main detector. Technical Violation issued.

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 in a cabinet in the kitchen under the sink, however the child-proof latch was broken. A Type A deficiency was issued, see LIC809D. There are no bodies of water accessible to children in care. Lunch and snacks are provided by the center.

Disaster drills are conducted at least once every six months, the last drill was conducted November 30, 2021.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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 4
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: SPARKLE MONTESSORI-2
FACILITY NUMBER: 013423034
VISIT DATE: 12/01/2021
NARRATIVE
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The sign in/out sheets were reviewed and are accurate. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. There are no children at this time than need IMS, no medications we held at the school. Children's records were reviewed: LPA requested and reviewed facility roster. All files selected were complete and up to date, two children’s TB test results were not in the file (Type B violation) see LIC809D.

Staff files were reviewed. Opening and closing staff have current CPR and first aid training. All staff subjected to criminal review have been cleared and associated to the facility. 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.
There are ample age-appropriate toys that appear to be safe and in good condition. There are no bodies of water accessible to children in care. The furniture and equipment is in safe condition and is free from sharp, loose or pointed parts.
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.

No infants in this facility, Safe Sleep was not covered in depth but was discussed since the sister facility next door has 18-month old children in care.

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.

Deficiencies was issued today, see LIC809D

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 Nishat Kuma Juliet Rose.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: SPARKLE MONTESSORI-2
FACILITY NUMBER: 013423034
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/01/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above due to cleaners and disinfectants harmful to children were under the kitchen sink but the cabinet had a defective child-proof latch (broken) which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 12/01/2021
Plan of Correction
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All chemicals and cleaners were moved to a safe cupboard above the refrigerator and will be maintained and kept there from now on..
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 12/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/01/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: SPARKLE MONTESSORI-2
FACILITY NUMBER: 013423034
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/01/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220(b)(2)
Child's Medical Assessments
(b) The medical assessment shall provide the following: (2) Results of a test for tuberculosis.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 2 out of 10 files reviewed which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/08/2021
Plan of Correction
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TB test results not available for 2 children, one parent supplied immediate proof of TB clearance, the other child's parent will have the child tested within one week.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell HadererTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 12/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/01/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4