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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412737
Report Date: 09/06/2019
Date Signed: 09/06/2019 02:18:35 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: 25DATE:
09/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Alka Sharma & Praful SharmaTIME COMPLETED:
02:35 PM
NARRATIVE
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Licensing Program Analyst (LPA), Stephanie Rangel, conducted an unannounced random and case management inspection to the Facility today. LPA met with owner/director Alka Sharma and Praful Sharma, facility administrator, and explained that the nature of today's inspection. The inspection was to also inspect the facility for a request to add a toddler option onto their preschool license. The Facility requests a total capacity of 66 children with 12 children in their toddler option. LPA toured the Facility both inside and outside during today's inspection.

A review of staff records indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA reminded director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violations within a 12 month period.

Sign in and out sheet reviewed. LPA reviewed 10 children's and 4 staff files during today's inspection. Each child's file reviewed contains the Information and Emergency Information form (LIC 700). At least two teachers have current CPR/1st Aid certifications. Alka understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips).

LPA observed that the teacher/child ratio was in compliance during today's inspection. Alka understands the conditions, limitations, and capacity specifications of the Facility license. Alka understands that children shall be visually supervised at all times.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ALKA MONTESSORI INC
FACILITY NUMBER: 434412737
VISIT DATE: 09/06/2019
NARRATIVE
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LPA observed that all rooms are clean and safe for all children and staff. LPA observed solid waste containers with tight-fitting lids throughout the Facility. Children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Owner states that there are no weapons or firearms on the premises. LPA reminded owner that hot water hand washing fixtures shall not exceed 120 degrees F.

The food preparation and storage areas are clean. All food and beverages that require refrigeration are stored in covered containers. Cleaning supplies are stored on high shelves in the kitchen area, away from children. Any poisons are stored in the locked storage area. Any medication(s) at the Facility will be stored in the director's office.

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

Deficiencies cited. Appeal rights printed and reviewed.



Aan updated license to include the toddler option will be reviewed for approval by management when the following items are received:
Updated outdoor facility sketch
Updated request for waiver along with a schedule of playground use
Revised handbook and or/updated admissions agreement

Licensing Forms, Title 22 Regulations and information can be obtained through the internet at www.ccld.ca.gov. Appeal rights printed and reviewed.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ALKA MONTESSORI INC
FACILITY NUMBER: 434412737
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/20/2019
Section Cited

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Sign in and Sign Out: The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement was not met as evidenced by several children not being signed in and or signed out per title 22 regulations. This poses a potential risk Health, Safety Personal Rights risk to children in care.
Type B
09/20/2019
Section Cited

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Personnel Records: Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information. This requirement was not met as evidenced by staff 1 - 4 all missing parts of the personnel records. This poses a potential risk Health, Safety Personal Rights risk to children in care.

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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: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:
DATE: 09/06/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/06/2019
LIC809 (FAS) - (06/04)
Page: 4 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ALKA MONTESSORI INC
FACILITY NUMBER: 434412737
VISIT DATE: 09/06/2019
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The Facility is currently licensed in Classrooms 1 - 5 but has decided to add a toddler option and use rooms 2 and 3 for that purpose. An updated Application for a Child Care License (LIC 200A) was submitted to the San Jose Regional Office requesting the addition of the toddler option. The capacity remains unchanged and the age range of children on the license will be 18 months old to entry into 1st grade. LPA completed the following measurements today

Toddler Option:
Room 2: 20.417 x 9.250 = 188.857
Room 3: 20.083 x 13.583 = 272.787
Total Toddler Option Indoor Space = 461.644 sq. ft. divided by 35 = 13

Preschool Rooms:
Room 1: 28.333 x 22.083 = 625.678
Room 4: 33.5 x 17.917 = 600.220
Room 5: 33.917 x 16.417 + 8.333 x 8.833 = 630.394
Total Preschool Indoor Space = 1,856.292 sq ft. divided by 35 = 53 preschool children

The outdoor space was measured today as follows:
Playground:
37.833 x 7.167 = 271.149
7.167 x 54.417 = 390.007
7.167 x 4.167 = 29.865
39.5 x 9.250 = 365.375
3.333 x 3.583 = 11.942
45.083 x 39.083 = 1,761.979
18.667 x 18.250 = 340.673
TOTAL OUTDOOR SPACE: 3,170.99 sq. ft. divided by 75 = 42 children

The outdoor space will be utilized by both the preschool and toddler option program, but at different scheduled times. The yard is surrounded by appropriate fencing. There is a climbing structure in the yard with pour n play for resilient material. Shade is provided by the building overhang and trees, canopies. Drinking water is provided by personal water bottles. LPA observed no bodies of water. No transportation is provided by the school.

Prior to the inspection, LPA received a fire clearance approved on 08/07/2019.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4