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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416976
Report Date: 05/31/2022
Date Signed: 05/31/2022 04:17:16 PM

Document Has Been Signed on 05/31/2022 04:17 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:DELIGHT MONTESSORI PRESCHOOL LLCFACILITY NUMBER:
434416976
ADMINISTRATOR:RASHIDA NAQVIFACILITY TYPE:
850
ADDRESS:5670 CAMDEN AVENUETELEPHONE:
(408) 560-1636
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY: 48TOTAL ENROLLED CHILDREN: 35CENSUS: 32DATE:
05/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Archana NaphadeTIME COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), James Santos conducted an unannounced Required 1 Year inspection visit today. LPA met with Licensee, Archana Naphade and discussed the purpose of the visit. Director, Rashida Naqvi was not present during today's visit.

The Center's operation days and times are Monday through Friday from 8:00AM to 6:00PM. Children and teachers were engaged in different activities upon LPA's arrival. LPA observed that the teacher/child ratio was in compliance during today's inspection.

LPA toured the center with Licensee. LPA observed the required posted materials including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Child Car Seat Law (PUB 269) and Activity Schedule are posted.

The center has 2 classrooms. The classroom areas were observed to be clean and in good order. There are adequate supplies, play equipment and toys for children. Each classrooms has 2 restrooms for children and they were observed to be clean and in good operating condition. The center has fire extinguishers and alarm, smoke and carbon monoxide detectors. Disinfectants, cleaning solutions and other chemical items and sharp objects are stored away and inaccessible to children. Per Licensee, they do not have poisons, weapons and ammunition on the premises and they do not provide transportation to children. The center does not provide meals to the children. The children bring their snacks and lunches from home and are stored in their lunch bags. There are cubbies for children to store their belongings.

The outside playground area is surrounded by appropriate fencing. The playground equipment are age appropriate and the surface area has resilient materials for safety. There are no bodies of water or hazards observed. Drinking water were observed to be available to children.


Continued on next page.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2022
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: DELIGHT MONTESSORI PRESCHOOL LLC
FACILITY NUMBER: 434416976
VISIT DATE: 05/31/2022
NARRATIVE
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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 05/27/2022)


LPA reviewed ten (10) children's files. Children's records reviewed include Admission Agreement, Identification and Emergency Contact, Consent for Emergency Medical Treatment form, receipt of Parent Rights Notice, Personal Rights Notice, Physician's Report and Immunization Record.

LPA reviewed six (6) staff files. Staff records reviewed include Criminal Record Clearance, Immunization Record, CPR/First Aid, Qualifications and Education. LPA advised Licensee of the required "mandated reporter" training for Assembly Bill, AB 1207 requirement for Child Care Providers that all staff must complete and renew every two (2) years. The website for the online training is: http://www.mandatedreporterca.com.

Per review of record, the center conducts emergency disaster drills monthly.

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.

LPA advised Director to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Regulations, Online option to pay Annual License fee, Adoption of new Laws, etc.



As a result of this inspection, deficiencies have been cited. See LIC809D for deficiencies.

Exit interview conducted and report was reviewed with Licensee and a copy was provided. Appeals right reviewed and provided.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 05/31/2022 04:17 PM - It Cannot Be Edited


Created By: James G Santos On 05/31/2022 at 03:43 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: DELIGHT MONTESSORI PRESCHOOL LLC
FACILITY NUMBER: 434416976

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. Five (5) staff records reviewed showed they do have a valid Mandated Reporter Training certification which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2022
Plan of Correction
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Licensee stated she will have staff complete the mandated reporter training for AB 1207 and submit proof of completion of training to CCL by POC due date of 6/30/2022.
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above.Three (3) staff records reviewed do not have Health Screening Report (LIC 503) which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2022
Plan of Correction
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Licensee stated she will have staff obtain their Health Screening Report and submit copies to CCL by POC due date of 6/30/2022.
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:Joel Segura
LICENSING EVALUATOR NAME:James G Santos
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2022


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 05/31/2022 04:17 PM - It Cannot Be Edited


Created By: James G Santos On 05/31/2022 at 03:43 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: DELIGHT MONTESSORI PRESCHOOL LLC
FACILITY NUMBER: 434416976

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(l)(1)(B)
Personnel Requirements
(B) A copy of the signed LIC 9052 (11/94) shall be kept in the employee's personnel record.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. All staff record reviewed do not have a copy of LIC 9052 in their file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2022
Plan of Correction
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Licensee stated she will have all staff sign the LIC9052 form and submit copies to CCL by POC due date of 6/30/2022.
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above. One staff's record was not available in the facility for review which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/30/2022
Plan of Correction
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Licensee stated she will have obtain the staff's complete file and submit copies to CCL by POC due date of 6/30/2022.
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:Joel Segura
LICENSING EVALUATOR NAME:James G Santos
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2022


LIC809 (FAS) - (06/04)
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