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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408233
Report Date: 06/08/2023
Date Signed: 06/08/2023 05:14:51 PM


Document Has Been Signed on 06/08/2023 05:14 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, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:A NEW WORLD OF MONTESSORIFACILITY NUMBER:
073408233
ADMINISTRATOR:HUMAIRA AHMEDFACILITY TYPE:
830
ADDRESS:101 SONORA AVENUETELEPHONE:
(925) 751-9458
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY:24CENSUS: 15DATE:
06/08/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Humaira (Mona) AhmedTIME COMPLETED:
05:30 PM
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Licensing Program Analysts (LPA) Cherie Acosta and Diana Campos conducted an unannounced Case Management Inspection. LPAs met with Director Humaira (Mona) Ahmed.

During the course of a complaint investigation LPAs observed an infant sleeping in a play yard with a blanket. LPAs observed a second infant in a crib with a small blanket with a stuffed toy attached.

The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

Exit interview and report reviewed with Director Humaira (Mona) Ahmed.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2023
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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Document Has Been Signed on 06/08/2023 05:14 PM - It Cannot Be Edited

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: A NEW WORLD OF MONTESSORI
FACILITY NUMBER: 073408233

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/09/2023
Section Cited
CCR
101439.1(b)

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Infant Care Center Sleeping Equipment. A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib
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Director shall ensure that sleeping equipment for all infants is in compliance with California Code of regulations, title 22. Director shall develop a written plan of action and submit to CCL by 6/9/23.
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This requirement was not met as evidenced by: C1 was observed sleeping in a play yard instead of a crib which poses an immediate risk to the health a safety of children in care.
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Type A
06/09/2023
Section Cited
CCR101439.1(f)

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Infant Care Center Sleeping Equipment. Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement was not met as evidenced by: LPAs observed C1
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Director shall ensure infants do not have any loose objects in the sleeping area. Director shall develop a written plan of action and submit to CCL by 6/9/23.
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 sleeping with a blanket and C2 sleeping with a small blanket with a toy attached which poses an immediate risk to the health and safety of children in care.
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2023
LIC809 (FAS) - (06/04)
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