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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420951
Report Date: 11/28/2022
Date Signed: 11/28/2022 07:06:35 PM

Document Has Been Signed on 11/28/2022 07:06 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:GLOBAL MONTESSORI INTERNATIONAL SCHOOLFACILITY NUMBER:
013420951
ADMINISTRATOR:TENG, VIVIFACILITY TYPE:
850
ADDRESS:2830 - 9TH STTELEPHONE:
(510) 845-6969
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 39DATE:
11/28/2022
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Vivi TengTIME COMPLETED:
04:45 PM
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On 11/28/22, Licensing Program Analyst (LPA) Melissa Domantay met with Director Vivi Teng for a Required 1 Year inspection. The facility center and playground areas were toured to conduct a Health and Safety Inspection. Present during today's inspection was Director Vivi and 8 preschool staff. There were 39 preschool children present during today's inspection. All adults present today are fingerprint cleared and associated. The center operates Monday through Friday from 7:00am to 6:00pm.

LPA toured the premises with Director.The facility currently operates in 4 classrooms. The classrooms are separated by 2-3's, 3-6 year olds. LPA toured each classroom. Each classroom had age appropriate toys. Furnishings were observed in safe condition. The facility has pet birds in some of the classrooms that are in a cage. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. There are 9 toilets and multiple sinks available for preschool children's use. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers and were in good repair. LPA observed multiple 3A40BC Fire extinguishers, combination smoke and Carbon Monoxide Detectors. The last Fire Drill was conducted on July 22, 2022. Director is reminded that fire drills should be conducted at least every 6 months. The center is equipped with a fully stocked first aid Kit and working telephone. Facility does not provide transportation for preschool children, but Director understands that children cannot be left alone, unattended in parked vehicles. Facility’s License, Parents’ Rights Poster PUB 393, Personal Rights, Activity Schedules, and menus were observed to be posted. Facility provides snacks, lunch is provided from home for children. Isolation area for sick children is in the Music Room.

See 809-C for continuance.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2022
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: GLOBAL MONTESSORI INTERNATIONAL SCHOOL
FACILITY NUMBER: 013420951
VISIT DATE: 11/28/2022
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Outdoor playground areas was inspected and observed to be fenced and safe. The play equipment was maintained in good condition and free of hazards. Areas around the outdoor play yard are cushioned with material that absorbs falls. Shade is provided by way of covered areas. There were no bodies of water observed during today's inspection. Drinking water is arranged to be readily available to children during indoor and outdoor activities. Children utilize personal reusable water bottles.

Children sign in and out procedures and logs were reviewed. Facility uses manual sign in/sign out procedure. LPA reminded facility to maintain sign in/sign out procedures and make sure parents/authorized representatives sign the child in and out. Children's files and Staff files were reviewed and contained required documents. Director Vivi Teng has a valid CPR/First Aid Certificate, expires on 08/20/2024. Children's Roster and staff personnel report was reviewed. A copy of staff personnel report and children's roster were provided to LPA by Director Vivi.

On or before March 30, 2018 any person who works in a child care facility shall complete Mandated Reporter training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

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

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

There are no deficiencies cited today. Exit interview conducted and report was reviewed with Director, Vivi Teng. A Notice of Site Visit was given and must remain posted for 30 consecutive days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
LIC809 (FAS) - (06/04)
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