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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423764
Report Date: 05/28/2024
Date Signed: 05/28/2024 02:36:35 PM

Document Has Been Signed on 05/28/2024 02:36 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:VIA NOVA CHILDREN'S SCHOOLFACILITY NUMBER:
013423764
ADMINISTRATOR/
DIRECTOR:		MARIA THERESA MAGABOFACILITY TYPE:
860
ADDRESS:3032 MARTIN LUTHER KING JR WAYTELEPHONE:
(510) 848-6682
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 40DATE:
05/28/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:10 AM
MET WITH:Balamurugan SubbiahTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) M. Domantay met with Applicant, Balamurugan Subbiah and Director, Maria Theresa Magabo for the purpose of a pre-licensing inspection for a Change of Ownership. Applicant requests a preschool license to serve 45 preschool children from ages two years to first grade entry. The program will operate Monday through Friday from 8:00 a.m. to 5:30 p.m. The fire clearance was granted and received on 3/8/2024 from the Berkeley Fire Department. The facility will not provide food. Morning snacks, afternoon snacks, and lunch will be provided from home. LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Parent board is located on 1st floor by the elevator.

INDOOR ACTIVITY SPACE:
There are 12 preschool areas: 1st floor: room A, room B, room C, room D, room E, room F, and Kitchen. 2nd floor: room A, room B, room C, room D, room E. LPA observed sufficient amount of equipment, toys, tables, chairs, cubbies, and napping mats. There is a first aid kit on each floor of the facility. There are 2 outdoor play yards areas, and separate staff restroom. Medications will be stored on top of the children's cubbies and top of the refrigerator which is out of children's reach. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. LPA observed a functional carbon monoxide detector on 1st and 2nd floor of the facility. LPA observed a manual sign-in/sign-out system.

LPA toured all preschool classrooms/areas with the Director. All measurements remain the same from previous pre-licensing inspections which will accommodate Applicant's request for 45 preschool children. There are 3 toilets and 3 sinks for the children, and a separate private restroom for the staff is located on the 1st floor between room C and room E. Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.
Page 1
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: VIA NOVA CHILDREN'S SCHOOL
FACILITY NUMBER: 013423764
VISIT DATE: 05/28/2024
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OUTDOOR ACTIVITY SPACE:
There is 2 outdoor areas on the property. Playground 1 and Playground 2. The outdoor play areas are fenced with wooden fencing that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There is a play structure present in Playground 1. Play structures are filled with tan bark as cushioning to cushion a child's fall. There is 1 sandbox for children's use in Playground 1 that was observed to be maintained. There are no bodies of water on the premises. LPA reminded Applicant and Director to ensure to empty all water tables when not in use. There is sufficient outdoor shading provided by trees.

LPA toured all outdoor activity spaces for children with the Director. All outdoor measurements remain the same from previous pre licensing inspections, which will accommodate Applicant's request for 45 preschool children.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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) or (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

LPA discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: VIA NOVA CHILDREN'S SCHOOL
FACILITY NUMBER: 013423764
VISIT DATE: 05/28/2024
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Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Applicant was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Applicant, Balamurugan Subbiah.

The following items are required before a license will be issued:

1. Licensing Program Manager (LPM) final file review.

2. Applicant/Director must install child locks on kitchen drawers and refrigerator or remove all utensils and plastic bags from kitchen drawers. Applicant/Director must submit photos to LPA once installed or removed.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
LIC809 (FAS) - (06/04)
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