015700629-10-30-2024-52-CC-CCON-DAJMXY-20241030100043

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700629
Report Date: 10/25/2024
Date Signed: 10/30/2024 10:02:52 AM

Document Has Been Signed on 10/30/2024 10:02 AM - 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:	LEVEL UP MONTESSORI-ARDENWOOD		FACILITY NUMBER:	015700629
ADMINISTRATOR/ DIRECTOR:	AGARWAL, SANDHYA		FACILITY TYPE:	850
ADDRESS:	4938 PASEO PADRE PARKWAY		TELEPHONE:	(408) 431-7003
CITY:	FREMONT	STATE: CA	ZIP CODE:	94555
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 8	DATE:	10/25/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:44 AM
MET WITH:	Manish Rastogi		TIME VISIT/ INSPECTION COMPLETED:	05:32 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 Friday, October 25, 2024, at 10:44 AM, Licensing Program Analyst, (LPA) Caroline Colson met with Applicant Sandhya Agarwal, Managing Member Manish Rastogi Sushma Shrespha, Director, for a Change of Ownership prelicensing inspection. The applicant requests 48 preschool children from 2 years of age to 6 years of age. A health and safety inspection in all areas accessible to children was conducted. There are 8 children and 2 staff members including the center director. The program will operate Monday through Friday from 8:15 AM to 5:30 PM. Physical Plant: The facility is two suites with four (4) classrooms and an indoor play area in a strip mall. There are restrooms for children and staff in separate suites. There is adequate heating, lighting, and ventilation. There are no cleaning solutions, chemicals, or other hazards accessible to children. Per Applicant, there are no weapons at the facility. Classrooms: Furniture and equipment are age appropriate and in good repair. There are separate storage areas for children’s belongings. Drinking water will be provided and distributed in labeled water bottles and an uncontaminated water pitcher for all children. Children do take naps at facility. There are cots and bedding materials for all the children. Parents will wash all bedding materials every Friday. Staff will sanitized the cots every Friday. There is a first aid kit within the emergency disaster bag. The facility provides one lunch and two snacks. The menu is posted for review. Food is provided by an outside vendor. Please See LIC 809 C for Additional Information

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEVEL UP MONTESSORI-ARDENWOOD	FACILITY NUMBER: 015700629
	VISIT DATE: 10/25/2024

NARRATIVE

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Restrooms: Toilets and sinks are operable. There is soap, toilet paper and paper towels for sanitary use.

Classroom measurements:
LPA measured four (4) classrooms for the Preschool Component. The total indoor measurements for care and supervision is 1585.64 square feet which will not accommodate Applicant's request for 48 Preschool children.

There are a total of four (4) toilets, and four (4) sinks for the children. One toilet will be designated as the isolation toilet. Classroom 1 will be the isolation area. The staff will be using the designated bathroom for all adults that is located in the strip mall.

Outdoor Activity Space:
The second suite will be used as the outdoor play area. The outdoor play area is fenced with a iron rod gate. There is enough age-appropriate equipment and toys. The play area has cushioning material underneath all outdoor climbing equipment. The entire area is shaded because it is located inside. There are no bodies of water on the premises. Climbing structures and slides are safe and in good condition. Playground is free of debris and other hazards. Children have access to drinking water and will use their own labeled water bottles outside. The total indoor play area measurements are 1406.82 square feet which will not accommodate Applicant's request for 48 children for the outdoor area.

Please See LIC 809 C for Additional Information

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEVEL UP MONTESSORI-ARDENWOOD	FACILITY NUMBER: 015700629
	VISIT DATE: 10/25/2024

NARRATIVE

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Emergency Preparedness/Safety: Emergency Disaster Plan is dated and posted for review. The facility utilizes a land line telephone and cell phones. Fire Clearance was received for 4938 Paseo Padre Parkway.

Sign in/Sign out: Applicant will updated the sign in and sign out sheet to ensure parents provide their full legal signatures, child's full name, time of arrival and departure.

Licensee 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.

LPA advised per Health and Safety Code 1597.16(a)(1) Lead Testing and PIN-21-21-CCP Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test.

Per Written Directive 100700(c)(1) Written Directives for Lead Testing (1) For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure. LPA discussed the safe sleep regulations with Applicant and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Please See LIC 809 C for Additional Information

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEVEL UP MONTESSORI-ARDENWOOD	FACILITY NUMBER: 015700629
	VISIT DATE: 10/25/2024

NARRATIVE

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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 ADA, available at http://www.ada.gov/childqanda.htm

LPA reviewed with Applicant the LIC 311 A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA discussed 100% supervision is always required in all areas that children have access to including the bathroom. Personal Rights, inspection authority, reporting requirements, maintaining buildings and grounds was reviewed. Staff Qualifications, Staff to Children’s ratios and Capacity was explained to ensure compliance. 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.

Applicant 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.

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 platforms.

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.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEVEL UP MONTESSORI-ARDENWOOD	FACILITY NUMBER: 015700629
	VISIT DATE: 10/25/2024

NARRATIVE

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Exit interview was conducted with Managing Member, Manish Rastogi.

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

1. Applicant will need clean rugs.
2. Applicant will need to updated children's records.
3. Applicant will need label all children's water bottles and provide a pitcher with uncontaminated water for the children.
4. Applicant will need to purchase more cots.
5. Applicant will need to update facility sketch to show that there is a walkway to one suite to the next suite, isolation area and isolation bathroom.
6. Applicant will need provide a label for the indoor play structure.
7. Applicant will need to provide an updated sign in and sign in sheet.
8. Applicant will need to purchase more soap.
9. Applicant will need to purchase a gate that is at least 4 feet high for the indoor play area.
10. Fire Clearance is needed for the indoor play area.
11. Waiver needs to be sent for the indoor play area to have a 1:6 teacher to child.
13. Applicant will need to submit a new LIC 200 A with capacity change.
14. Licensing Program Manager (LPM) final file review

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC809 (FAS) - (06/04)

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