434417130-11-9-2023-07-CC-FRAA-CX4M7N-20231030092150

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417130
Report Date: 10/25/2023
Date Signed: 11/09/2023 12:29:12 PM

Document Has Been Signed on 11/09/2023 12:29 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	ASAVARI INC. - VALLEY OAK MONTESSORI		FACILITY NUMBER:	434417130
ADMINISTRATOR:	VARSHA KUMAR		FACILITY TYPE:	850
ADDRESS:	4868 SAN FELIPE ROAD, #130,110		TELEPHONE:	(408) 250-7408
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95135
CAPACITY: 88	TOTAL ENROLLED CHILDREN: 39	CENSUS: 32	DATE:	10/25/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Varsha Kumar		TIME COMPLETED:	02:30 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	This report is amended to include additional measurements for Room 3 to the original report. Licensing Program Analysts (LPAs), Farida Raja and Harsimran Kaur conducted an unannounced pre-licensing inspection for a change of ownership at this facility. LPAs met with Applicant/ Director, Varsha Kumar and explained the purpose of today’s inspection. The applicant is applying for a preschool license for 56 children ages 3-6 years with a toddler component for 32 children, ages 18-36 months. The center will operate Monday through Friday from 7:30 AM to 6:00 PM. A fire clearance approval from the San Jose Fire Department was granted for 88 children on 10/032023. LPAs toured and measured the indoor and outdoor areas of the facility during today's inspection. Indoor Activity Space: ROOM 1:* 20.00 X 18.42 minus 13.3 (encumbered space) = 355.1 ROOM 2: 24.75 X 21.08 minus 13.3 (encumbered space) = 508.43 ROOM 3: (21.83 X 14.00) + (7.83X 5.17) minus 17.97 (encumbered space) = 328.13 ROOM 4: 39 X 26.75 minus 39.42 (encumbered space) = 1003.83 ROOM 5: (20.25 X 10.67) + (29.33 X 22.33) minus 14.98 (encumbered space) = 856.03 *TOTAL INDOOR SPACE = 3,051.52 sq. ft. divided by 35 = 87 children* LPAs observed a fully charged fire extinguishers, centrally connected smoke and carbon monoxide detectors and appropriate lighting in each classroom. The facility has central heating and air conditioning. The facility has 6 sinks (90), 6 toilets and 1 urinal (105) available for the children. The sinks to be used by children only have cold running water. Staff bathroom is located in the toddler room. The sick children will be using the staff bathroom if needed. Sick children will be isolated in the Director's Office and isolation equipment will be provided. Continued on Page 2

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ASAVARI INC. - VALLEY OAK MONTESSORI	FACILITY NUMBER: 434417130
	VISIT DATE: 10/25/2023

NARRATIVE

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Director stated that medication for children will be stored in the office. LPA observed a refrigerator in the office and director stated that If medication requires refrigerator it will be stored in the office refrigerator. Staff and children's bathrooms are clean, sanitary, and operable. LPAs observed containers with tight-fitting lids for the disposal of solid waste in all classrooms. First aid supplies are stored in Rooms 2 and 4 in high cabinets inaccessible to children. Cleaning supplies are stored in high cabinets in the bathrooms and in a locked closet in Preschool Room 4. Director stated that there are no weapons or firearms on the premises.

LPAs observed that all furniture and equipment indoors are in good condition and safe for the children. The facility will not be providing meals. Parents have the option to purchase hot lunch from an outside vendor (School Caterers) or bring their children's lunch. Director stated that facility will provide snacks. The facility has an off-limits kitchen in Preschool Room 4. The kitchen is clean and equipped with a sink, refrigerator, microwave and storage space for food. Disposable utensils and plates will be utilized by the facility. Drinking water will be readily available for the children indoors via individual water bottles and drinking fountains. Transportation will not be provided by the facility.

There are 10 tables, 101 chairs, 84 cubbies, 48 cots for the children. Director stated that they have more cots and sleep mats in storage. There is adequate supplies and toys for the preschool children in each classroom.

OUTDOOR MEASUREMENTS:
PLAYGROUND: 20.08 X 11.75 = 235.94
62.25 X 25.33 = 1576.79
17.50 X 68.42 = 1197.35

PLAYGROUND TOTAL = 3,010.08 minus 0 (encumbered space) = 3,095.193

TOTAL OUTDOOR SPACE = 3,010.08 sq. ft. divided by 75 = 40 children

LPAs observed that the playground is surrounded by appropriate fencing and the outdoor surfaces are safe. Shade is provided by trees and building overhang. Director stated that they have 2 umbrellas in storage that will be used on hot weather days.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ASAVARI INC. - VALLEY OAK MONTESSORI	FACILITY NUMBER: 434417130
	VISIT DATE: 10/25/2023

NARRATIVE

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The areas under and around the play structure is cushioned with rubber foam that will absorb a fall. Drinking water will be provided by individual water bottles and refilled using the drinking water fountains. No bodies of water were observed. Director submitted a waiver for the shared playground space for preschool and toddler children including outdoor schedules for both. Director was reminded that initial lead testing results shall be received within 180 days from licensure. Following the initial testing, facility must conduct water testing every 5 years after the date of the first test.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. Facility has an approved IMS Plan on file with San Jose Regional Office. 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, available at: http://www.ada.gov/childqanda.htm

Director were reminded that all adults 18 and over, responsible for the administration or direct supervision of staff, persons who provide care and supervision to children, and staff who have contact with children, 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.

LPAs reviewed with Facility Representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Assembly Bill (AB 633) was discussed with Facility Representatives. 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&R) throughout California.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ASAVARI INC. - VALLEY OAK MONTESSORI	FACILITY NUMBER: 434417130
	VISIT DATE: 10/25/2023

NARRATIVE

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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 platform. 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.

LPAs advised director that a license for 86 children will be submitted to management for approval upon receiving the Financial Information Release and Verification Form (LIC 404) from applicant's bank.

Exit interview conducted and report was reviewed with Applicant/Director, Varsha Kumar.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023

LIC809 (FAS) - (06/04)

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