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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408897
Report Date: 03/27/2024
Date Signed: 03/27/2024 03:57:04 PM


Document Has Been Signed on 03/27/2024 03:57 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:FOUNTAINHEAD MONTESSORI SCHOOL-PLEASANT HILLFACILITY NUMBER:
073408897
ADMINISTRATOR:RIZVI, SUMAIRAFACILITY TYPE:
850
ADDRESS:1715 OAK PARK BOULEVARDTELEPHONE:
(925) 967-2655
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:99CENSUS: 65DATE:
03/27/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Sumaira RizviTIME COMPLETED:
04:30 PM
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On 3/27/24 Licensing Program Analysts (LPAs) Brindha Govindasamy and Monica Mathur conducted an Case Management - Legal/Non-compliance inspection at Fountainhead Montessori School- Pleasant Hill. LPAs toured the facility with Director, Sumaira Rizvi.

Due to deficiencies cited over the past one year facility participated in a non compliance conference with the Regional Office and was put on frequent required visits. The purpose of today's inspection is to follow up and ensure overall compliance.

Present today during inspection were
Pond (toddler room) : 2 Staff, 6 children
Brook (Preschool) : 4 staff, 21 children (napping)
Lake (3 to 6 year old) : 2 staff, 11 children (in the outdoor yard)
River (3 to 6 year old) : 2 staff, 12 children
Ocean (3 to 6 year old) : 3 staff, 20 children

All staff ware fingerprint cleared and associated to the facility. Teacher and child ratio were in compliance. LPAs observed adequate supervision being provided and did not observe any potential risks or hazardous materials during the walk through.

No deficiencies were cited today. Exit interview was conducted and report was reviewed with Director, Sumaira Rizvi. Notice of site visit was issued and must be posted for 30 days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Brindha GovindasamyTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2024
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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