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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417033
Report Date: 11/14/2024
Date Signed: 11/14/2024 01:18:04 PM

Document Has Been Signed on 11/14/2024 01:18 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:FREMONT PARENTS NURSERY SCHOOLFACILITY NUMBER:
013417033
ADMINISTRATOR/
DIRECTOR:
MILLER, JESSICAFACILITY TYPE:
850
ADDRESS:4200 ALDER AVENUETELEPHONE:
(510) 793-8531
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 12DATE:
11/14/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On November 14, 2024 at approximately 9:00am, Licensing Program Analyst (LPA) Randy Miranda arrived for an unannounced annual inspection for Health and Safety. Present for the inspection today was the site director Stacy Gohman, 2 teachers, 4 parents, 1 ABA Therapist, and 12 children in care. The facility operates as a parent co-op. Hours of operation are Mondays and Wednesdays at 9:00am to 3:30pm, Tuesdays, Thursdays, and Fridays at 9:00am to 12:00pm.

The facility operates on the west side of Oliveira elementary school. It has a perimeter fence and private opening gates and doors to the facility. The building has a single classroom including an office, kitchen, children’s bathroom and a separate bathroom/storage area for adults. Child’s bathroom has 2 toilets and 2 hand washing sinks with functioning water taps with appropriate hand washing signs and has an infant changing station. There are enough towels and soap supplies. All toilets, handwashing, and cleaning areas are in safe and sanitary operating condition.

The facility has a large outside play area including a sturdy play structure. Outside 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 to absorb a fall. Shade is available under attached shade structure on the south side of the building over the patio area and a shade structure in the middle of the play yard. LPA observed a few items that needs attention: an unlocked padlock at the souther emergency exit gate (Directive from Fire Marshall); unhinged door on a shed; old pumpkins that are rotting (used for composting); pots and pans that were not turned over and not clean; and leaves clogging the drain of splash tables. Teachers and parents are always present for supervision.



All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; daily activity schedules; Lead water testing results. There are no waivers for this facility.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: FREMONT PARENTS NURSERY SCHOOL
FACILITY NUMBER: 013417033
VISIT DATE: 11/14/2024
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The facility has a two fully charged fire extinguishers, a 3A40BC mounted on the wall of the classroom and a 3A40BC in the kitchen. The last annual inspections were done 9/16/2024. There is a working carbon monoxide and smoke detectors (both tested and working). Disaster drills are conducted at least once every 6 months, the last drill was conducted 11/12/2024.

The school does not provide lunches, snacks and water bottles are brought in by the children. The facility is clean and well organized with ample age-appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free, heating and ventilation is acceptable. There were no hazardous items/toxins observed to be accessible to children in care today. There are no bodies of water accessible to children in care.



The sign in/out sheets were reviewed, children signed in were present. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. One enrolled child requires incidental medical services at this time.

Children's records were reviewed. A roster was reviewed, and a copy taken. All files were organized and in good order. Staff files were reviewed. Mandated Reporter and 1st Aid/CPR are current for all staff members. All staff subjected to criminal review have been cleared and associated to the facility. All files were complete and in good order.

Site Director was reminded that all adults 18 and over, 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: FREMONT PARENTS NURSERY SCHOOL
FACILITY NUMBER: 013417033
VISIT DATE: 11/14/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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 no deficiencies issued today's inspection. This report must remain on file for 3 years.

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

Exit interview conducted and report was reviewed with the Site Director Stacy Gohman.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC809 (FAS) - (06/04)
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