013423062-3-21-2025-52-CC-RMIA-DEYSG5-20250321135122

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423062
Report Date: 03/21/2025
Date Signed: 03/21/2025 01:51:39 PM

Document Has Been Signed on 03/21/2025 01:51 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	AMBA BHAVANI LLC / DBA SCRABBLE MONTESSORI SCHOOL		FACILITY NUMBER:	013423062
ADMINISTRATOR/ DIRECTOR:	AMBERKER, KSHAMA N.		FACILITY TYPE:	840
ADDRESS:	38660 LEXINGTON ST.		TELEPHONE:	(510) 396-2403
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 7	DATE:	03/21/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:10 AM
MET WITH:	Kshama Amberker		TIME VISIT/ INSPECTION COMPLETED:	02:00 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 March 21, 2025, at 8:10am, Licensing Program Analyst (LPA) Randy Miranda arrived unannounced for an annual inspection for compliance to Health and Safety. Present for the inspection was the site director Kshama Amberker, 1 teacher, and 7 children in care. The facility is in ratio today.

The facility has two license components, pre-school is on the ground floor, school age is upstairs. The inspection of both components was carried out this day. Sign in/out sheets are completed electronically. All children present were signed in. For the school-age children on the second floor there is one large room divided into 2 areas. There are separate boys and girls bathrooms and one additional bathroom. All children’s bathrooms have enough towels and soap supplies. Sinks do not use hot water; only cold water is available. The staff has a separate adult bathroom.

The children have their own fenced outdoor playground area and playground equipment. There is a waiver issued that requires that children alternate their time in the playground to meet space requirements (square footage per child indoor/outdoor space). LPA observed that all playground structures and toys are in safe condition and free from sharp, loose or pointed parts. The areas around or under high climbing equipment and slides have appropriate cushioned material that absorbs a fall. There is ample shade provided by large trees.

Children bring in bottled water and each classroom also has a water fountain and jugs of water with paper cups. All classrooms had trash cans with tight fitting lids. First aid kits were available in each classroom and in the outside playground area. No children require and incidental medication (EpiPen or inhalers).

The facility has fully charged fire extinguishers in the building. There is a 3A40BC fire extinguisher in first floor hallway and upstairs there is a 4A80BC. The last annual inspection was done on 11/13/2024. Fremont Fire Department conducts fire inspections. Carbon monoxide and smoke detectors were available, tested and functioning. Heating and ventilation in the classroom is acceptable. Disaster drills are conducted monthly, the last drill was conducted 03/11/2025.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: AMBA BHAVANI LLC / DBA SCRABBLE MONTESSORI SCHOOL	FACILITY NUMBER: 013423062
	VISIT DATE: 03/21/2025

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
26
27
28
29
30
31
32

The facility is clean and well organized with ample age-appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept out of the access of children. The facility provides snacks and lunch for the children, menus were appropriately posted in each classroom. Food is prepared for children on site. Kitchen area was inspected and found to be clean and safe. All stored foods for children were checked and everything was within expire date, and non-fat milk available to be served to children.

Staff files were reviewed. Opening and closing staff have current CPR and first aid training. All staff subjected to criminal review have been cleared and associated to the facility. All staff immunization requirements have been met. Children's records were reviewed: LPA requested and reviewed facility roster, a copy was taken for the office file. All files were well organized and complete.

All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules.

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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Lead testing is complete and documented.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: AMBA BHAVANI LLC / DBA SCRABBLE MONTESSORI SCHOOL	FACILITY NUMBER: 013423062
	VISIT DATE: 03/21/2025

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
26
27
28
29
30
31
32

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
Site Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

There were no deficiencies issued today.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.

Exit interview conducted and report was reviewed with the Site Director Kshama Amberker.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

Page: 3 of 3