<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700625
Report Date: 05/09/2024
Date Signed: 05/09/2024 02:01:40 PM

Document Has Been Signed on 05/09/2024 02:01 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:MOUNT VALLEY MONTESSORIFACILITY NUMBER:
015700625
ADMINISTRATOR/
DIRECTOR:		RANI, PUSHPAFACILITY TYPE:
850
ADDRESS:1481 MOWRY AVENUETELEPHONE:
(408) 718-9911
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 88DATE:
05/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:03 PM
MET WITH:Pushpa RaniTIME VISIT/
INSPECTION COMPLETED:
02:16 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 Thursday, May 9, 2024, at 12:03 PM, Licensing Program Analysts Caroline Colson and April Wright, met with Pushpa Rani, Applicant for an announced case management inspection. The purpose for the inspection is to remeasure the both play yards. There are 88 children with 11 staff members including applicant.

The total outdoor measurements for the toddler play yard is 919.06 square feet which will accommodate the Applicant's request for the toddler component. The total outdoor measurements for the preschool play yard is 4,107.73 square feet and will not accommodate the applicant's request for the preschool component.

The following items were discussed with the Applicant, Pushpa Rani,
1. Both play yards will need to be re-evaluated by a contractor to make the necessary repairs to ensure the health and safety of all areas for all three components.
2. Applicant will need to request a waiver for the preschool component due to insufficient area for the maximum amount requested.
3. Applicant will need to request a waiver for the school age component.

There were no deficiencies cited during this inspection. Exit interview was conducted.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
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 1