010200050-12-7-2022-02-CC-MDOY-CLW66V-20221207193235

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010200050
Report Date: 12/07/2022
Date Signed: 12/07/2022 07:33:12 PM

Document Has Been Signed on 12/07/2022 07:33 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:	BERKELEY MONTESSORI SCHOOL		FACILITY NUMBER:	010200050
ADMINISTRATOR:	BLYTHE, REBECCA		FACILITY TYPE:	850
ADDRESS:	2030 FRANCISCO STREET		TELEPHONE:	(510) 849-8340
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94709
CAPACITY:	119	CENSUS: 36	DATE:	12/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Rebecca Blythe		TIME COMPLETED:	05:00 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 12/7/22, Licensing Program Analyst (LPA) Melissa Domantay met with Director Rebecca Blythe for a Required 1 Year inspection. The facility center and playground were toured to conduct a Health and Safety Inspection. Present during today's inspection was Director Rebecca Blythe and 4 staff. There were 36 preschool children present during today's inspection. All adults present today are fingerprint cleared and associated. The center operates Monday through Friday from 8:30am to 5:30pm. LPA toured the premises with Director. The program operates in 5 classrooms. 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 11 toilets and 13 sinks available for 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 11/2022. 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 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 for children and family's provide lunch for children. Isolation area for sick children in the annex of the cedar classroom. Outdoor playground is gated all around and was inspected and observed to be safe. Director is reminded that 100% supervision of children must be provided. All climbing equipment is properly anchored to the ground with adequate and appropriate cushioning under them. See 809-C for continuance.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

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: BERKELEY MONTESSORI SCHOOL	FACILITY NUMBER: 010200050
	VISIT DATE: 12/07/2022

NARRATIVE

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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. There is a outdoor eating area with tables available to children. There is sandbox at the facility, which appears to be free of debris and maintained. 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 electronic 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 Rebecca Blythe has a valid CPR/First Aid Certificate, expires on 6/3/2023. 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.

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, Rebecca Blythe. A Notice of Site Visit was given and must remain posted for 30 consecutive days.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

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