<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073402889
Report Date: 09/07/2022
Date Signed: 09/07/2022 09:45:49 AM


Document Has Been Signed on 09/07/2022 09:45 AM - 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:MONTESSORI SCHOOL OF CONCORDFACILITY NUMBER:
073402889
ADMINISTRATOR:METROCK, ANAFACILITY TYPE:
850
ADDRESS:3039 WILLOW PASS ROADTELEPHONE:
(925) 682-8067
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY:56CENSUS: 36DATE:
09/07/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Ana Delmy MetrockTIME COMPLETED:
09:30 AM
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 9/7/22 at 8:30 am Licensing Program Analysts (LPAs) Monica Mathur and Michelle Sutton conducted an unannounced Plan of Correction (POC) inspection at Montessori School of Concord. LPAs met with Director/Licensee, Ana Delmy Metrock and explained the purpose to today's inspection.

During a complaint investigation on 8/26/22 facility was issued citations for:
Building & Grounds
Lack of Supervision
Teacher Child Ratio

During today's inspection, LPAs observed cloth towel on diaper changing pad was removed and there was a stock of paper napkins available. Director stated they use paper napkins under child, disinfect pad after each change. They have placed an order for paper rolls. There were 4 staff present and facility was in ratio compliance. Staff was visually supervising children. Deficiencies issued on 8/26/22 were cleared and Letters of Clearance provided.

This report was reviewed with Director/Licensee, Ana Delmy Metrock.
A NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/07/2022
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 1