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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416514
Report Date: 10/27/2022
Date Signed: 10/27/2022 02:34:49 PM

Document Has Been Signed on 10/27/2022 02:34 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:VALLEY MONTESSORI SCHOOLFACILITY NUMBER:
013416514
ADMINISTRATOR:SUAN, ANAFACILITY TYPE:
850
ADDRESS:1273 NORTH LIVERMORE AVENUETELEPHONE:
(925) 455-8021
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY: 180TOTAL ENROLLED CHILDREN: 180CENSUS: 107DATE:
10/27/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Ana SuanTIME COMPLETED:
02:40 PM
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On October 27, 2022, Licensing Program Analysts (LPAs) Simerjit Kaur and Julia Placencia met with site Director Ana Suan for an UNANNOUNCED ANNUAL RANDOM INSPECTION for Preschool component. This center also includes elementary school and middle school. There is a private non-profit school on site and the Director is aware children in care may not commingle at any time. Present for this inspection was 12 staff members and 107 preschool age children. The facility was toured by LPAs and Director Ana Suan to conduct a Health and Safety Inspection. The center operates Monday - Friday from 7:30 A.M. - 6:00 P.M.
There are 6 rooms designated for preschool age children (Rooms: Alder, Cedar, Brich, Bay Laurel, Palm, and Redbud) with restrooms in each classrooms. There is adequate heating and lighting in the classrooms. The facility appears to be safe, and sanitary. There is no standing water on the floor observed during today's inspection. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition during today's inspection. The staff restroom is located in the hallway. Classrooms have appropriate furniture and equipment for the use of children in care. All storage containers for solid waste had a tight-fitting lid. There are adequate storage hooks for children's belongings. Cots are available for use of children. The bedding sheets are sent home weekly to be washed by the child's family. Meals are provided by parents and AM/PM snacks provided by center. There is a menu posted in the hallway. The center also offers meals through Choice Lunch. There is drinking water available in the classrooms and outdoor. There two outdoor play yards for preschool component. Climbing equipment has adequate and appropriate cushioning material to absorb falls. It was observed that there are no toxins or hazardous items accessible to children in care during today's inspection.
See 809-C for continuance
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: VALLEY MONTESSORI SCHOOL
FACILITY NUMBER: 013416514
VISIT DATE: 10/27/2022
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The center is in compliance with the sign in and out procedure. The center has conducted and documented a fire/disaster drill on 9/12/2022. LPAs observed working carbon monoxide detector and a fully charged fire extinguisher. Smoke detectors and fire alarms inspections are conducted by RTS and Aegis Company. The center roster was reviewed, and a copy was obtained. LPA reviewed children's files and random staff files. The staff have CPR/First Aid and immunization.
Activity schedules and required Community Care Licensing forms are posted and visible for review. LPAs reviewed prescription medication at the center and prescription medications are current.
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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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)/ (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.



For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list and visit www.ccld.ca.gov.
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/process.

Notice of site visit form should be posted and must remain posted for 30 days. Report shall remain on file for 3 years. Exit interview conducted.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022
LIC809 (FAS) - (06/04)
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