434417139-12-21-2023-07-CC-HKAR-CYQRWA-20231221122250

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417139
Report Date: 12/21/2023
Date Signed: 12/21/2023 12:22:56 PM

Document Has Been Signed on 12/21/2023 12:22 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	LITTLE EINSTEIN'S MONTESSORI PRESCHOOL		FACILITY NUMBER:	434417139
ADMINISTRATOR:	AMIE OMAN		FACILITY TYPE:	830
ADDRESS:	2798 SOUTH BASCOM AVENUE		TELEPHONE:	(408) 559-1581
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95124
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 20	CENSUS: 0	DATE:	12/21/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Amie Oman		TIME COMPLETED:	01:00 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	Licensing Program Analysts (LPA) Harsimran Kaur met with a Director, Amie Oman, for the purpose of conducting a Prelicensing Inspection. Fire clearance was approved on 11/23/23. There is existing preschool facility# 434417103 at the front. The facility has pending application for a infant license with toddler option that will operate Monday through Friday from 7:30 AM to 6:00 PM, serving children ages 0 to 18 months Infants and 18 to 30 months old toddlers. LPA toured the facility during today's inspection as well measured the space available for the children. Infant and toddler facility located at the back of the preschool. The following are indoor measurements and information: *Infant Room* The Indoor total measurements contain a total of {415} square feet, which will accommodate Applicant’s request for 8 infants. *Toddler Room* The Indoor total measurements contain a total of {339.74} square feet, which will accommodate Applicant’s request for 10 toddlers. The Infant Program has one sink available for the children. LPA observed a diaper changing table in the Infant Room that is within arm's reach of a sink. Sick children will be isolated in the reception area and isolation equipment will be provided. LPA observed containers with tight-fitting lids for the disposal of solid waste and diapers. First aid supplies, medication, and cleaning products are stored in the upper cabinets in the Infant Room. LPA observed smoke and carbon monoxide detectors at the facility. The facility has central heating and air conditioning.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2023

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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LITTLE EINSTEIN'S MONTESSORI PRESCHOOL	FACILITY NUMBER: 434417139
	VISIT DATE: 12/21/2023

NARRATIVE

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LPA Kaur advised the facility must be kept free of flies, other insects & rodents. LPA observed that all furniture and equipment indoor are in good condition and safe for the children. The parents will be providing snacks and lunch for the children. The kitchen in toddler room is equipped with a sink that has hot and cold running water, crock pot for bottle warming, small refrigerator and microwave. The kitchen has plenty of storage spaces. Disposable dishes and utensils will be utilized by the facility.

There are 8 small chairs, 2 table, 8 feeding chairs, 2 cribs, 6 mats, and 8 cubbies available for the infants.
There are 10 chairs, 12 cots, 3 tables, 12 cubbies, 1 changing table, 1 toilet with sink available for toddlers.

Outdoor total measurements contain a total of {974.65} square feet, which will not accommodate Applicant’s requested capacity

Facility is requesting waiver to use outdoor shared space with infants and toddler. Facility has designated patio and green yard for infant/toddler component. Shade is provided by deck/patio area. LPA observed that the Infant Playground is surrounded by appropriate fencing and the outdoor surfaces are safe. Drinking water outdoor is provided via Sippy cups and bottles. No bodies of water were observed.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides 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

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2023

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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LITTLE EINSTEIN'S MONTESSORI PRESCHOOL	FACILITY NUMBER: 434417139
	VISIT DATE: 12/21/2023

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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) 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.
LPA discussed the safe sleep regulations with Site Director and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA informed Site Director 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.

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

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 communication..

Exit interview conducted and report was reviewed with Amie Oman, Director. Copy of the report was provided. Final license determination will be made upon review by Licensing Program Manager.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2023

LIC809 (FAS) - (06/04)

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