015700595-3-7-2024-52-CC-EWOS-D35VUK-20240307154451

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700595
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:44:57 PM

Document Has Been Signed on 03/07/2024 03:44 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	LEARN AND PLAY MONTESSORI CENTERVILLE, INC.		FACILITY NUMBER:	015700595
ADMINISTRATOR:	VASQUEZ, EDITH		FACILITY TYPE:	840
ADDRESS:	2550 PERALTA BOULEVARD		TELEPHONE:	(510) 870-4678
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	34	CENSUS: 0	DATE:	03/07/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Edith Vasquez		TIME COMPLETED:	04:00 PM

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On March 7, 2024 at 11:30 AM., Licensing Program Analyst (LPA) Elimika Woods conducted an unannounced 3 Year Required Inspection and met with the facility representative, Edith Vasquez. LPA disclosed the purpose of the inspection and was granted entry into the facility by the facility representative. There were no school age children present during this inspection. The center has a preschool component #015700594 operating out of eight classrooms (Classrooms 2 through 9). The hours of operation are 8:00 AM-6:00 PM, Monday -Friday.

The facility was toured inside and out for a health and safety inspection. LPA checked the facility RECORDS and they show all individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. LPA conducted a census of the children and the census matches the children signed in on the electronic system. LPA did not review any children's or staff files.

The one classroom was inspected around 12:00 PM and teacher child ratio was observed. The facility representative confirmed that the isolation area for sick children is the children's isolation bathroom, away from other children in care. LPA inspected the furniture, floors, and carpets and they were in good repair. The children’s equipment, play and leaning materials are adequate and available. Each child has their own individual space for storage and drinking water is available inside and outside. The center has wired smoke and carbon monoxide detectors, working telephone, first aid kits, pull down fire alarm system, and multiple fully charged 3A40BC fire extinguishers which meets standards established by the State Fire Marshal. All required documents are posted in a public accessible area.

LPA reviewed the facility roster and obtained a copy. At least one opening/ closing staff member has a current CPR & First Aid Certificate. Mandated Reporter Training was discussed, and certificates were reviewed.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

See 809-C

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika Woods	TELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEARN AND PLAY MONTESSORI CENTERVILLE, INC.	FACILITY NUMBER: 015700595
	VISIT DATE: 03/07/2024

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This facility provides snacks for the children. Lunch will be provided by the parents or lunch can be purchased through the school's vendor. There are weekly menus posted at the facility. The staff's break area and kitchen area is off limits to children in care. The kitchen area has a refrigerator that's kept clean a free of rodents and trash. All storage containers for solid waste have tight fitting covers that are in good repair.

The outdoor play areas area fully fenced with play structures that have slides with cushioning underneath to absorb children falls. There are canopies and trees that provides shade to children while at play. The center has pitchers and cups, as well as water bottles for indoor and outdoor activities. The play equipment is age appropriate and in good repair.

LPA checked the staff bathroom around 12:45 PM and was told by the representative it was separate from the children’s bathroom. In the children’s bathrooms all of the sinks and faucets are in safe sanitary operating condition in which the children can reach the sinks toilets and the paper towels and soap are available to the children.

California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. The facility representative was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

The facility representative was reminded that all adults 18 and over, 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.

The facility representative 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.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Edith Vasquez

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika Woods	TELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

LIC809 (FAS) - (06/04)

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