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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013413922
Report Date: 06/29/2023
Date Signed: 06/29/2023 05:28:43 PM

Document Has Been Signed on 06/29/2023 05:28 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CAREFACILITY NUMBER:
013413922
ADMINISTRATOR:RELAN, SHASHIFACILITY TYPE:
850
ADDRESS:38000 CAMDEN STREETTELEPHONE:
(510) 797-2222
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 53TOTAL ENROLLED CHILDREN: 47CENSUS: 36DATE:
06/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Ruby MasihTIME COMPLETED:
03:30 PM
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On June 29, 2023 at approximately 9:45 am Licensing Program Analyst (LPA) Russ Haderer arrived to conduct an unannounced site inspection for health and safety. LPA met with facility director, Ruby Masih and toured all areas licensed for use by children in care. Also present at the time of this inspection were 7 teaching staff and 36 children in care (all preschool age). The hours of operation remain 7:30am to 6:30pm. Upon further checking it was determined that two staff members did not have their fingerprint clearance. Their applications were closed due to a required document that was not received in time. The teachers left the facility and will not return until the fingerprint clearance process is complete and they are confirmed with eligible clearance. As a result, these were cited Type A deficiencies and civil penalties were issued - see LIC809D for deficiencies.

The facility is a single-story building at the end of a small row of shops. There are two license components operating at this location and they share the playground area. The playground is surrounded by a 6-foot privacy fence, secured with gates with inside latches too high for children to reach. All play equipment is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Shade was available in the play areas and teachers are always present. Burlap material in the entrance to the covered shade structure as well as artificial turf covering a curb has become worn and torn presenting a tripping hazard. See LIC809D for Deficiencies. Water testing or Lead content was completed, there are no lead exceedances found. Children bring their own bottled water from home.

The preschool consists of 3 classroom rooms: Little Fish, Lions, and Stars. They have a shared bathroom with 5 working toilets and sinks, and an off-limits gated kitchen, the child gate latch has become non-functioning and therefore will not prevent child access to the kitchen, see LIC809D for deficiency. The kitchen contains a refrigerator, stove, dishwasher and area for dry goods storage. There were no sharp knives observed in the kitchen today. All food was checked and not expired, milk in the refrigerator was 1% fat. Cleaning chemicals and other cleaners are stored out of reach of children.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2023
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE
FACILITY NUMBER: 013413922
VISIT DATE: 06/29/2023
NARRATIVE
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Sinks have functioning cold water taps with appropriate hand washing signs and sufficient amounts of towels, soap. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition. Classrooms have touchless trash cans with tight fitting cover for the disposal of solid waste.

The facility is clean and well organized with age appropriate furnishings and equipment in good repair. Surfaces including floors and counter tops are clean and toxic free. There are ample age-appropriate toys that appear to be safe and in good condition. There are no bodies of water accessible to children in care. There were no hazardous items/toxins observed to be accessible to children in care today.



The sign in/out sheets are electronic and were reviewed. All children present were accounted for on the school attendance log, however, the electronic method of signing in and out was not accurate. The facility uses the Bright Wheel app but not all parents have properly signed in their child - see LIC809D for deficiency.

There are two fully charged 2A10BC fire extinguishers last serviced on April 6, 2023, one in the kitchen prep area and one in Lions room. The rooms have working smoke detectors and carbon monoxide detectors in the ceilings. There is one restroom for staff, separate from the children's restrooms. Heating and ventilation is acceptable.

Disaster drills are conducted once per month, the last drill was conducted June 2, 2023. All required posted documents were found to be in compliance and prominently posted in public places.



The center administers medication (EpiPen). The medication is stored in the administration office, medications were checked and are not expired. Incidental Medical Services Plan is on file. The children's napping areas are clean and organized with sleeping pads and cubbies for the children's personal items, none of the children's blankets were touching.

Staff files were reviewed. All files were complete and in good order. Center Director CPR/1st Aid expires 11/20/2023 and Mandated Reporter certificate completed on 8/13/2021. One staff member’s Mandated Reporter certificate expired, a technical violation was issued.

Children's records were reviewed: LPA requested and reviewed child roster and took a copy. All children’s records were complete and in good order.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE
FACILITY NUMBER: 013413922
VISIT DATE: 06/29/2023
NARRATIVE
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 the ADA, available at: http://www.ada.gov/childqanda.htm

Center Director 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.



To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

There were four deficiencies found during today’s inspection, see LIC809D.

- Staff present without fingerprint clearance (Type A violation)


- Worn burlap and artificial turf presenting a tripping hazard
- Child gate to block kitchen access has a non-functioning gate latch
- Parents not fully signing in their children
See 809D for deficiencies cited today. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

**Please see LIC 9102 for Advisory Notes.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Center Director, Ruby Masih.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023
LIC809 (FAS) - (06/04)
Page: 3 of 7
Document Has Been Signed on 06/29/2023 05:28 PM - It Cannot Be Edited


Created By: Russell Haderer On 06/29/2023 at 03:55 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE
FACILITY NUMBER: 013413922

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Request Denied
Type A
Section Cited
CCR
101170(e)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that two staff members did not respond to a request for more documentation for their fingerprints; their applications were closed and therefore they did not have fingerprint clearance which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2023
Plan of Correction
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Staff immedicately left the facility and went to have their fingerprints redone. Staff will not be allowed back in the facility until their fingerprints have cleared.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chandra Charles
LICENSING EVALUATOR NAME:Russell Haderer
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/29/2023 05:28 PM - It Cannot Be Edited


Created By: Russell Haderer On 06/29/2023 at 03:55 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE
FACILITY NUMBER: 013413922

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that the child gate to the kitchen has a non-functioning latch which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2023
Plan of Correction
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Licensee to repair or replace the child gate, and until it has been completed, staff will ensure children do not enter the kitchen area.
Type B
Section Cited
CCR
101238.2(d)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that burlap material and artificial turf in the play yard has become torn and presents a tripping hazard which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2023
Plan of Correction
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Licensee to repair or replace the torn burlap and artificial turf in the play ground area.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chandra Charles
LICENSING EVALUATOR NAME:Russell Haderer
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 06/29/2023 05:28 PM - It Cannot Be Edited


Created By: Russell Haderer On 06/29/2023 at 03:55 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE
FACILITY NUMBER: 013413922

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101229.1(b)
Sign In and Sign Out
(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that some parents were not completing the app for sign-in (the facility's attendance sheet was accurate) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/07/2023
Plan of Correction
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Licensee to work with parents and reinforce the importance of signing their children in and out using the Bright Wheel app. Licensee may also consult with Bright Wheel on methods of ensuring parents use the software effectively.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Chandra Charles
LICENSING EVALUATOR NAME:Russell Haderer
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023


LIC809 (FAS) - (06/04)
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