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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416367
Report Date: 06/21/2022
Date Signed: 06/21/2022 11:20:51 AM

Document Has Been Signed on 06/21/2022 11:20 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:OVER THE RAINBOW MONTESSORIFACILITY NUMBER:
434416367
ADMINISTRATOR:VARSHA DEODIKARFACILITY TYPE:
850
ADDRESS:880 HILLSDALE AVENUETELEPHONE:
4086917621
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY: 38TOTAL ENROLLED CHILDREN: 38CENSUS: 30DATE:
06/21/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Director Varsha Deodikar Licensee Sheetal Prakash TIME COMPLETED:
10:41 AM
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Licensing Program Analyst (LPA) Stephanie Collins conducted an Unannounced Pre-Licensing Inspection today. Upon arrival, LPA observed 32 children on site and 5 teachers. LPA met with Varsha Deodikar, Program Director. LPA explained the nature of today's inspection “The purpose of today's pre-licensing inspection is due to a change of ownership. The facility is currently in operation as a sole proprietor and requesting to be licensed as a corporation.

The facility was previously licensed under preschool facility #434415526. Director states No structural changes have been made or will be made to classroom locations, classroom, playground space, or capacity. An updated fire clearance inspection was conducted on 06/08/22 and clearance was granted for a maximum capacity of 38 preschool children ages 2 years to entry to first grade. The preschool will continue to use Rooms 1,3, and 4 for the children. Room #2 will to be used as the school office. The preschool will continue to use the playground in the back of the facility. The preschools operational hours are Monday through Friday 8:am-5:30pm. The working telephone number on site is 408 266-5432. All licensing documents required to be posted and visible to parents were observed.

There are three /45 toilets and four/60 sinks for children to use at the facility. A separate staff bathroom with 1 toilets and 1 sinks. The classroom is equipped with functioning smoke and carbon monoxide detectors, fire extinguishers (2-A-10-B:C),and first aid supplies. LPA observed adequate furniture, supplies, and learning materials. Windows have appropriate screens. Detergents and cleaning supplies are stored separate from food and inaccessible to the children.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2022
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: OVER THE RAINBOW MONTESSORI
FACILITY NUMBER: 434416367
VISIT DATE: 06/21/2022
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Measurements for this facility were previously taken on 07/16/2019. There have been no changes to the facility since the last measurements were taken.
Room 1: (3.583 x 10.833) + (30.250 x 23.333) = 744.637 minus 162.845 (encumbered space) = 581.792
Room 3: 13.333 x 10.417 = 138.889 minus 4.963 (encumbered space) = 133.926
Room 4: 31.167 x 27 = 841.509 minus 210.435 (encumbered space) = 631.074
TOTAL PRESCHOOL INDOOR SPACE: 1346.792 sq. ft. divided by 35 = 38 children.

Playground: 76 x 36 = 2736 minus 132.557 (encumbered space) = 2603.443
TOTAL PRESCHOOL OUTDOOR SPACE: 2603.443 sq. ft. divided by 75 = 34 children
Drinking water will be provided indoors and outdoors by cups and bottled water. The playground fencing is at least four feet tall and completely encloses the outdoor area. There is proper cushioning under climbing structures. No bodies of water observed. There is age appropriate equipment and toys on the playground. Director states No weapons or ammunition is stored at the facility.

Facility representative Varsha Deobikar, was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The Application and file will be forwarded to management for final review and approval.

Exit interview conducted and report was reviewed with the facility representative Varsha Deodikar

No deficiency was cited. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
LIC809 (FAS) - (06/04)
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