013423034-1-9-2023-52-CC-RHAR-CMWQPU-20230109112119

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423034
Report Date: 01/09/2023
Date Signed: 01/09/2023 11:21:28 AM

Document Has Been Signed on 01/09/2023 11:21 AM - 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:	SPARKLE MONTESSORI-2		FACILITY NUMBER:	013423034
ADMINISTRATOR:	KUMAR, NISHAT		FACILITY TYPE:	850
ADDRESS:	37217 FREMONT BLVD. S# C,D,E,F		TELEPHONE:	(510) 320-3799
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	57	CENSUS: 26	DATE:	01/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Nishat Kumar		TIME COMPLETED:	11:30 AM

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 January 09, 2023 at approximately 8:30am, Licensing Program Analyst (LPA) Russ Haderer arrived unannounced for an annual health and safety inspection. On arrival and present for the inspection was the site director Juliet Rose and licensee Nishat Kumar, three teachers and 26 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 in use at this time and waiting for enrollment of toddlers. Rooms 2 and 3 are open and 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. The facility has 2 fully charged 3A40BC fire extinguishers, one mounted in Classroom 1 and another one in classroom 3 next to each door in the classroom. The last annual inspection was done 2/09/2022. Fremont Fire Department conducted a fire inspection on 4/04/2022, no violations were noted. The carbon monoxide detectors are mounted in the ceilings throughout the facility and were tested and functioning properly. Heating and ventilation in the classroom is acceptable. 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. The furniture and equipment is in safe condition and is free from sharp, loose or pointed parts. All hazardous materials and toxins are kept out of the reach of children. Hazardous items/toxins are kept in a cabinet in the kitchen under the sink. There are no bodies of water accessible to children in care. Lunch and snacks are provided by the center, all snack foods were checked and none were found to be expired. Disaster drills are conducted every month, the last fire drill was done on December 20, 2022.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

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: SPARKLE MONTESSORI-2	FACILITY NUMBER: 013423034
	VISIT DATE: 01/09/2023

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 to review the children’s facility roster, a copy was taken by the LPA. One child who has been enrolled since October 03, 2022 but not did not have the physician’s report in the file. However, this child has not been present in the facility since November 3 due to traveling out of the country. Child will not be allowed to return until physician’s report has been completed. All other files selected were complete and up to date.

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.

Licensee 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.

Incidental Medical Services (IMS) policy was discussed. 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

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

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: SPARKLE MONTESSORI-2	FACILITY NUMBER: 013423034
	VISIT DATE: 01/09/2023

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.

There were no deficiencies issued this day.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Nishat Kumar.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

LIC809 (FAS) - (06/04)

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