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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700599
Report Date: 04/20/2023
Date Signed: 04/20/2023 03:19:42 PM

Document Has Been Signed on 04/20/2023 03:19 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:ACHIEVERSFACILITY NUMBER:
015700599
ADMINISTRATOR:VERMANI, NEERUFACILITY TYPE:
850
ADDRESS:20320 ANITA AVENUETELEPHONE:
(510) 676-4649
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 24DATE:
04/20/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Neeru VermaniTIME COMPLETED:
03:37 PM
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A Prelicensing inspection was conducted today 4/20/2023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant, Neeru Vermani. The applicant has submitted a CHANGE IN OWNERSHIP application for a PRESCHOOL license for 58 preschoolers. Along with the Applicant, also present were 4 additional staff members and 24 napping preschool aged children. The program will operate from 7AM - 6PM, Monday through Friday, in 6 classrooms. A health and safety inspection was conducted inside and outside. Measurements were taken during a previous visit and they are as follows:

INDOORS: 2044.88 square feet = 58 children
OUTDOORS: 5506.50 square feet = 73 children

The center has obtained an approved fire inspection clearance from the Alameda County Fire Department on 4/6/2023.

The facility has 6 classrooms. 5 of the classrooms reside in the main building with an additional classroom in the back building. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 5 toilets, and 4 sinks available for children use. Staff toilet is located within the kitchen area. Children bring lunch from home and facility will provide AM/PM snacks. Menu will be posted at least one week in advance in a place visible for the authorized representative to see. Facility will utilize an area of each room for isolation areas. Cots and mats were observed today.

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
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ACHIEVERS
FACILITY NUMBER: 015700599
VISIT DATE: 04/20/2023
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The play yard is fenced in all around. The center has water dispensers to provide clean drinking water inside and outside, with children bringing their water bottles from home. No cleaning agents were found stored with food. There is a refrigerator available. First aid supplies are available in the center. There is a working telephone on site. Facility will utilize an electronic sign in/out software that has a separate PIN/login for each authorized representative. Paper sign in/out sheets will be utilized should the electronic software be unavailable.

Applicant was 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 applicant 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 applicant 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.

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 58 preschool children, will be issued effective today 4/20/2023.



Exit interview conducted with Applicant, Neeru Vermani.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2023
LIC809 (FAS) - (06/04)
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