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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700561
Report Date: 06/02/2022
Date Signed: 06/02/2022 03:57:08 PM

Document Has Been Signed on 06/02/2022 03:57 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:ABC PRESCHOOL & DAYCAREFACILITY NUMBER:
015700561
ADMINISTRATOR:MALHOTRA, ANUPAMAFACILITY TYPE:
850
ADDRESS:20135 SAN MIGUEL AVENUETELEPHONE:
(408) 839-5669
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 23DATE:
06/02/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Anupama MalhotraTIME COMPLETED:
04:15 PM
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On 6/2/2022, a Prelicensing Visit was conducted today by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Applicant, Anupama Malhotra and her fingerprint cleared spouse, Gireesh Malhotra. Also present during today's visit were 4 additional staff members and 23 preschool aged children. The applicant has submitted an application for a PRESCHOOL license. A health and safety inspection was conducted inside and outside. The preschool program will operate in 3 classrooms. Also on site is a School Age component operating out of 2 classrooms typically used by the preschoolers. Operating hours Monday through Friday from 7:00AM - 6:00PM. The measurements of classrooms were taken, yard measurements were already on file from previous application:

INDOORS: 1444.45 square feet = 41 children
OUTDOORS: 7774.96 square feet = 104 children

A fire clearance is approved by the Alameda County Fire Department on 5/10/2022.
There is a separate staff bathroom and it will be utilized for an isolation restroom if a child becomes ill. There is a fully stocked first aid kit with all required equipment available and the kitchen cabinet will be used for storing medication. No exit doors were blocked. There is ample toys and furnishings throughout the center for children's use. There are cots available for children.
There are 5 toilets (sized appropriately) and 5 sinks available for children's use. Heating and lighting was adequate. There is ample play space for the children. There are 2 play yards for the preschool aged children. And areas under high climbing equipment have material that can absorb a fall. Yard will be shared with school age component. Applicant is aware no commingling between Preschool aged children and school aged children can occur inside or outside. The center Director will be Anupama Malhotra and a directors packet with all required documentation was submitted to CCL to complete the application. Facility will provide lunch and AM/PM snacks to the children.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2022
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: ABC PRESCHOOL & DAYCARE
FACILITY NUMBER: 015700561
VISIT DATE: 06/02/2022
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There are no bodies of water nor hazards found on the premises. Playground equipment is in good condition. Drinking water is available inside and outside. All toilets and hand washing facilities are in safe and sanitary operating conditions. All licensing required documents are posted. This facility plans to provide Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

Applicants were reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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. LPA discussed the safe sleep regulations with Applicants and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Applicants of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. LPA reviewed with Applicants the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A license for 21 preschoolers operating out of 3 classrooms will be approved effective today's date, 6/2/2022. Capacity of Preschool and School Age Children may vary but never exceed total of 41 children.


An exit interview was conducted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC809 (FAS) - (06/04)
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