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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422409
Report Date: 05/15/2024
Date Signed: 05/15/2024 03:51:42 PM

Document Has Been Signed on 05/15/2024 03:51 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:LEARN AND PLAY MONTESSORI SILVERGATE, INC.FACILITY NUMBER:
013422409
ADMINISTRATOR/
DIRECTOR:		PANGANAMALA, NEERAJAFACILITY TYPE:
850
ADDRESS:11900 SILVERGATE DRIVETELEPHONE:
(925) 248-2200
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 105TOTAL ENROLLED CHILDREN: 105CENSUS: 92DATE:
05/15/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Director, Neeraja PanganamalaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Director Neeraja Panganamala for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the director. In addition to the director, 92 children, and 15 staff members are present today. The facility operates Monday - Friday from 8:00 am to 6:00 pm out of classrooms #1 and #2. #3 and #4. The facility was inspected indoors and outdoors today for health and safety hazards, and the following was observed;
LPA did not observe any bodies of water, firearms, or weapons on the premises. The Center is in good condition, has proper temperature and ventilation, and is free of hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. A first aid kit and a first aid backpack are available. Medications are stored on a high shelf, inaccessible to children in care. The outdoor play area is fenced for supervision. The play structure is age-appropriate and in good condition. The classroom has appropriate postings. The last Emergency Drill was conducted on 04/17/2024 and is appropriately logged. The program provides daily snacks, and children bring their lunch. The menu is posted in a visible location and is dated for the entire month. LPA reviewed food storage and observed that all food is in its original packaging or labeled with an expiration date. LPA did not observe any dangerous items accessible today, including medications, poisons, disinfectants, or cleaning supplies, that could be dangerous to the children in care. The facility uses a procare child care system to sign in and out the children. The Center has a complete record of sign-in/out sheets from an authorized pick-up person. There is a working fire alarm system. The room has a working smoke and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone available. The center roster was reviewed, and a copy was obtained. A review of 8 children's files and nine staff files was completed. All children have a record of emergency identification information and immunization records on file. All staff has a criminal record clearance on file. The opening and closing staff have a current Pediatric First Aid/CPR certificate on file.
see next page
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LEARN AND PLAY MONTESSORI SILVERGATE, INC.
FACILITY NUMBER: 013422409
VISIT DATE: 05/15/2024
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During inspection,

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. This facility does provide IMS (Incidental Medical Services) to children currently. If any IMS is provided, a Plan for Providing 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

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.

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

Exit interview conducted and report was reviewed with the director, Neeraja Panganamala.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
LIC809 (FAS) - (06/04)
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