013423107-9-24-2021-02-CC-MDOY-C76R42-20210924124050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423107
Report Date: 09/24/2021
Date Signed: 09/24/2021 12:40:59 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	HAPPY DAY MONTESSORI SCHOOL		FACILITY NUMBER:	013423107
ADMINISTRATOR:	FATHIMA FAHIDHA BADURUDEEN		FACILITY TYPE:	850
ADDRESS:	1501 WASHINGTON AVENUE		TELEPHONE:	(510) 837-0491
CITY:	ALBANY	STATE: CA	ZIP CODE:	94706
CAPACITY:	12	CENSUS: 14	DATE:	09/24/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Fathima Fahidha Badurudeen		TIME COMPLETED:	01:03 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 09/24/21 at 11:00am, Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit arrived at the facility for an unannounced case management inspection. LPAs met with Fathima Fahidha Badurudeen, the Director. The normal hours of operation are Monday-Friday 8:00am-6:00pm. An application was received to add one additional classroom, Classroom #3 and an increase of capacity. There are 3 sinks and 4 toilets available for children's use. There are no changes to the bathrooms that were previously licensed. LPAs toured the new classroom #3, to conduct a health and safety inspection, and completed the following measurements: INDOORS: 726.11 square feet = 20 children OUTDOORS: 690.45 square feet = 9 children All other indoor and outdoor measurements remain the same. A fire clearance was received from the Albany Fire Department on 7/28/21. Fire department approved for a capacity of 22 children. LPAs observed that there is sufficient heating, lighting and ventilation in the classrooms, and the classroom floors and surfaces are clean and free of hazards. The rooms have an ample supply of age appropriate furniture, toys and equipment which appear to be in good condition. LPAs did not observe any bodies of water, hazardous items or toxins that would be accessible to children. LPAs observed operating sinks and covered waste cans. Facility is equipped with fully charged 3A40BC fire extinguishers, carbon monoxide detectors. The facility has a working telephone and first aid supplies.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: HAPPY DAY MONTESSORI SCHOOL	FACILITY NUMBER: 013423107
	VISIT DATE: 09/24/2021

NARRATIVE

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Classroom #3 and license for a capacity of 18 children will be made part of the license, effective today 09/24/21, and can be used when the facility is ready. There are no deficiencies being cited today. This report will remain on file for 3 years. A Notice of Site inspection was provided to the director, and an exit interview was conducted.

Incidental Medical Services (IMS) policy was discussed. LPA discussed the need to create a Plan of Operation for providing Incidental Medical Services, and the need to additionally have a specified plan for each child.

No deficiencies observed at this visit. A Notice of Site visit was given and facility was reminded that it is required to be posted for 30 days. Exit interview conducted and a copy of this report was left with Director Fathima Fahidha Badurudeen.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021

LIC809 (FAS) - (06/04)

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