015700522-12-7-2023-52-CC-LDBX-CYATMK-20231207135116

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700522
Report Date: 12/07/2023
Date Signed: 12/07/2023 01:51:23 PM

Document Has Been Signed on 12/07/2023 01:51 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:	ENGRACE MONTESSORI ACADEMY IN PLEASANTON		FACILITY NUMBER:	015700522
ADMINISTRATOR:	TOUCH, RONN		FACILITY TYPE:	850
ADDRESS:	5950 STONERIDGE DRIVE		TELEPHONE:	(925) 201-1120
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY: 116	TOTAL ENROLLED CHILDREN: 116	CENSUS: 50	DATE:	12/07/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Li Guan		TIME COMPLETED:	02:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On December 7, 2023 at approximately 9:20AM., Licensing Program Analyst (LPA) Lorraine Dacanay Breaux arrived and conducted an unannounced Annual 1 year Required Inspection and met with Director, Li Guan . LPA disclosed the purpose of the inspection and was granted entry into the facility. There were fifty (50) children present during this inspection and 15 additional staff members (including administrative staff). The facility consist of five classroom. The facility was toured for a health and safety inspection. The hours of operation are 8:00 AM-6:00 PM, Monday -Friday. This program starts with children at age of 2 years old. (no infants) CLASSROOMS: The five (5) classrooms was inspected (classroom names: purple, yellow, blue, green and yellow). There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children will be in the directors office away from children in care. The center has a wired smoke detectors, a carbon monoxide detector in the hallway (tested and functioning), working telephone, pull down fire alarm system, and twelve (12) fully charged 3A40BC fire extinguishers. BATHROOMS AND TOILETING AREAS: The staff's bathroom is separate from the children's bathroom. All sinks and faucets are in safe and sanitary operating condition. The children are able to reach the sinks and toilets. Supplies are available to the children. FOOD SERVICE AREAS: This facility does not provide lunch, supplied by parents. This facility provides snacks for the children. There are monthly menu posted. There is a staff kitchen area. All storage containers for solid waste have tight fitting covers that are in good repair. OUTDOOR PLAY AREAS: The school has a fully fenced playground area that the facility use for play and all equipment is in good repair. There's a small play structure that is anchored with cushioning to absorb children's falls. Canopy and trees for shade. There are no bodies of water, or free-standing water accessible to children. There are age appropriate toys and materials for the children. See 809-C

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

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: ENGRACE MONTESSORI ACADEMY IN PLEASANTON	FACILITY NUMBER: 015700522
	VISIT DATE: 12/07/2023

NARRATIVE

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RECORDS: LPA requested files and reviewed children and staff files at approximately 10:30 AM. All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Twelve (12) Children's files and staff files were reviewed. All staff files have required Health Screening and Employee Rights. All children's files contained Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. At least one opening/ closing staff member has a current CPR & First Aid Certificate. Mandated Reporter Training was discussed and certificates were reviewed. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least once every 6 months at the last one conducted was on 12/05/2023. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: IMS is being provided at the facility. LPA inspected the medication, which is stored in a safe place that is inaccessible to children in care. Each of the medications has an unaltered label with the child's name and date of issuance. The center is equipped with fully stocked first aid kits that are available in the classrooms.

California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

Facility representative 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.

Lead Testing: 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. LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP

See 809-C

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

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: ENGRACE MONTESSORI ACADEMY IN PLEASANTON	FACILITY NUMBER: 015700522
	VISIT DATE: 12/07/2023

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 Family Child Care Homes Section 102417. When 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

MyChildCarePlan.org: Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights provided. Exit interview conducted and report was reviewed with the facility representative, Li Guan

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

LIC809 (FAS) - (06/04)

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