013420578-2-28-2020-52-CC-JWIS-BM8UKZ-20200228143957

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420578
Report Date: 02/28/2020
Date Signed: 02/28/2020 02:40:03 PM

COMPREHENSIVE INSPECTION

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:	LITTLE FLOWERS MONTESSORI		FACILITY NUMBER:	013420578
ADMINISTRATOR:	ORTIZ, YOLANDA		FACILITY TYPE:	850
ADDRESS:	37815 BIRCH ST.		TELEPHONE:	(510) 331-8048
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	53	CENSUS: 49	DATE:	02/28/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Director - Yolanda Ortiz		TIME COMPLETED:	03:00 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

Licensing Program Analysts (LPAs) Jonathan Williams and Melanie Otsuji met with Director Yolanda Ortiz for the purposes of a Required 1-Year Inspection. Present during this visit are six staff and a total of 49 napping children in care. A health and safety inspection of the facility was conducted at 1:00pm. Disinfectants, cleaning solutions, poisons, and other dangerous items are inaccessible to children during this visit. All toilets and sinks are operable and sanitary with sufficient soap and paper products. Floors are free of tripping hazards. Furniture and equipment are age appropriate, appear to be in good condition, and are free from sharp, loose, or pointed parts. The kitchen/food preparation area is free of litter, garbage, and evidence of rodents or other vermin. Food is protected from contamination and, per staff, contaminated food is discarded immediately. Solid waste storage vessels (garbage cans) including moveable bins, are in good repair. Uncontaminated drinking water is available both indoors and outdoors. All foods/beverages capable of rapid spoiling are properly stored. The facility has a carbon monoxide detector that meets statutory requirements. The facility has a fully charged fire extinguisher on the premises. All required forms are posted in public view.

The outdoor activity space was toured at 1:32pm and is in safe condition. All play equipment is safe and age-appropriate. Areas around swings, slides, and high climbing equipment have cushioning material to absorb falls. The facility is properly fenced. Per Director, no firearms are kept on the facility premises.

The facility is operating within ratio and within its licensed capacity. Opening and closing staff have completed current CPR/First Aid training, and Director provided documentation demonstrating this. At 2:02pm LPAs reviewed a sampling of children’s records and employee's records for proper documentation. The sign in/sign out sheet was reviewed for signatures at 2:15pm.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: LITTLE FLOWERS MONTESSORI	FACILITY NUMBER: 013420578
	VISIT DATE: 02/28/2020

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
26
27
28
29
30
31
32

The Director was informed that all persons 18 years of age or older who are employed at the facility must obtain a fingerprint clearance and be associated to the facility prior to being in the presence of children. Individual Medical Services (IMS) were discussed with the Director. Per Director, IMS is provided at this time.

THE DIRECTOR WAS INFORMED THAT IF THE FACILITY RECEIVES A DEFICIENCY, THE PLAN OF CORRECTION MUST BE CORRECTED BY THE DATE PROVIDED OR A CIVIL PENALTY OF $100 PER DAY WILL BE ASSESSED TO THE FACILITY UNTIL THE DEFICIENCY IS CORRECTED.

LPAS DISCUSSED WITH DIRECTOR THAT ANY PERSON(S) EMPLOYED OR VOLUNTEERING AT A CHILD CARE CENTER SHALL BE IMMUNIZED AGAINST MEASLES/MUMPS/PERTUSSIS (MMR) AND INFLUENZA. DIRECTOR WAS REMINDED THAT IF A STAFF MEMBER CHOOSES TO DECLINE THE INFLUENZA VIRUS, A PERMANENT MEDICAL EXEMPTION MUST BE OBTAINED.

LPAs encouraged the Director to review our website, CCLD.CA.GOV, to stay up to date and informed on updates to the Title 22 Regulations as it relates to licensed child care facilities, particularly the Provider Information Notices (PIN). Director was also encouraged to use said website to access all forms relevant to licensed child care facilities.

LPAs informed Director regarding a new law requiring all licensed child care facilities to obtain both Mandated Reporting Trainings (General Training and Child Care Providers Training). Director was reminded that the Mandated Reporter Training must be renewed every two years. The following link was provided: WWW.MANDATEDREPORTERCA.COM

Director was encouraged to email CHILDCAREADVOCATESPROGRAM@DSS.CA.GOV in order to be included in the child care quarterly updates distribution list.

No deficiencies were cited during today's visit.

THE DIRECTOR WAS PROVIDED A COPY OF THEIR APPEAL RIGHTS (LIC 9058) AND THEIR SIGNATURE ON THIS FORM ACKNOWLEDGES RECEIPT OF THESE RIGHTS.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2