013423096-9-22-2021-02-CC-BNEN-C74R84-20210922124720

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423096
Report Date: 09/22/2021
Date Signed: 09/22/2021 12:47:28 PM

Document Has Been Signed on 09/22/2021 12:47 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:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013423096
ADMINISTRATOR:	LEON, DARA E.		FACILITY TYPE:	850
ADDRESS:	1707 GOULDIN ROAD		TELEPHONE:	(510) 219-5189
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94611
CAPACITY: 17	TOTAL ENROLLED CHILDREN: 0	CENSUS: 12	DATE:	09/22/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Dara Leon		TIME COMPLETED:	01:30 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 09/22/2021 Licensing Program Analyst (LPA) Brittany Newton conducted an unannounced visit for the purpose of conducting a required 1 year inspection. LPA was met by director Dara Leon. Present for the inspection was two teachers with 12 preschoolers. The facility was toured inside and out for a health and safety inspection. The preschool operates in one classroom, the last door at the end of the hallway, Classroom C. Facility uses montessori style learning. LPA inspected classroom and found it free of hazards. Furniture and fixtures were inspected to ensure no sharp edges were present and were found safe for use of children. Ample age appropriate toys are available. The facility provides snack. Snack storage was found with a variety of snacks available for children. A menu is posted. Drinking water is available for children. Outdoor play area was inspected and found safe for children. There is a shaded area for warm days, and there is material to cushion a fall. Carbon Monoxide detector was tested and observed operable. A fully charged 3A40BC fire extinguisher is on site. Facility has been conducting fire and disaster drills, with the last one being 07/2021. CPR and First Aid is current for at least one staff member on site, expiring 01/2023. Records were reviewed. Children files were found complete. LPA reminded facility to detach bottom portion of personal rights and parent rights forms when enrolling children. Staff files were found complete. LPA reminded facility to ensure they are signed up for guardian and associating cleared teachers to the facility. LPA provided information on signing up for guardian to the facility. A child care roster and personnel roster will be emailed to LPA Newton tomorrow, 09/23/2021. There are no bodies of water on site. No hazards, poisons, or medications were observed accessible to children. Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Brittany Newton
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

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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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: PRIDE IN LEARNING MONTESSORI SCHOOL	FACILITY NUMBER: 013423096
	VISIT DATE: 09/22/2021

NARRATIVE

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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.

Incidental Medical Services (IMS) policy was discussed. The facility provides IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for providing 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.

A technical violation was issued for lack of association of a fingerprint cleared teacher.

Exit interview conducted and report was reviewed with the Director Dara Leon.

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

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Brittany Newton
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

LIC809 (FAS) - (06/04)

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