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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412737
Report Date: 07/08/2019
Date Signed: 07/08/2019 03:02:21 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ALKA MONTESSORI INCFACILITY NUMBER:
434412737
ADMINISTRATOR:ALKA SHARMAFACILITY TYPE:
850
ADDRESS:70 SOUTH SAN TOMAS AQUINOTELEPHONE:
(408) 871-0320
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:66CENSUS: 36DATE:
07/08/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Daksha MehtaTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Stephanie Rangel conducted an Unannounced Case Management - Legal / Non-Compliance Inspection at the facility today. Upon arrival, LPA observed 12 napping preschool age children with one teacher in classroom #4. Classroom number #5 had 13 napping preschool children with one teacher. LPA met with site supervisor Daksha Mehta. The purpose of the inspection is to review ongoing facility efforts to maintain compliance per the Informal Meeting conducted between the owner and Community Care Licensing Management on 10/9/18. As a stipulation of the agreed upon plan, the facility will be under increased monitoring from Community Care Licensing.

LPA toured certain areas of the facility and reviewed five children's files. LPA observed that the facility is in compliance with Assembly Bill (AB) 633 with signed LIC 9224 Acknowledgement of Receipt of Licensing Reports for all children's files reviewed. LPA observed the physical plant and observed that children were being supervised and class sizes were within ratio. LPA also received an updated child care facility roster. LPA reviewed and discussed with Ms. Mehta expectations for ongoing compliance.

No Deficiencies have been cited as a result of today's inspection. A Notice of Site Visit has been issued and must remain posted for 30 consecutive days. Exit interview conducted with Ms. Mehta.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019
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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