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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405687
Report Date: 08/31/2022
Date Signed: 08/31/2022 12:58:55 PM


Document Has Been Signed on 08/31/2022 12:58 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:ALICE'S MONTESSORI - ASTRIDFACILITY NUMBER:
073405687
ADMINISTRATOR:PEREZ, TERESAFACILITY TYPE:
850
ADDRESS:105 ASTRID DRIVETELEPHONE:
(925) 947-0603
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:40CENSUS: 22DATE:
08/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:21 AM
MET WITH:Teresa PerezTIME COMPLETED:
01:17 PM
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On 8/31/2022 at 11:21am, Licensing Program Analyst (LPA) Catherine Fernandes met with Director Teresa Perez for an Unannounced Required Annual Inspection. There were 22 preschool age children in care and five additional fingerprint cleared teachers. The teacher/ child ratio was being met today. The center was toured for a health and safety inspection. The facility operates from 7:00am – 6:00pm, Monday through Friday.

The preschool operates on the corner lot of a converted house. The entrance to the center is located in the parking lot through the play ground. The room floors, surfaces, furniture and equipment appear to be safe, sanitary and in good repair. The heating and lighting and ventilation is adequate. There are a total of three toilets and four sinks available for the children which are sanitary and in operational condition. There are supplies available for the children to wash and dry their hands. There is a separate bathroom for staff. The activities and toys appear to be age appropriate for the children in care. The outside play area is the fenced in with shaded areas and age appropriate toys. There is a large play structure and the yard is covered with rubber pieces to absorb a fall. There is a water jug and the children have personal water bottles for drinking while outdoors. There is an outdoor sink for children to wash hands. LPA did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during todays inspection. The center prepares and provides snacks and lunches are brought from home. The kitchen was maintained in a clean manner and within regulations. There are current menus posted outside. The children have their own cubes to store personal belongings and bedding. All children have access to clean drinking water in each classroom. The fire system is hard wired, there is a working carbon monoxide detector in the classroom and a fully charged 3A40BC fire extinguisher. All required documents are posted for public review. Disaster drills are being conducted at least once every 6 months, the last drill was recorded on 7/29/22. The center is equipped with a fully stocked first aid kit and a working telephone. A review of 10 children's files and six present staff files were reviewed and all files were maintain within regulations. All staff have been fingerprint cleared and associated to the facility. A current children's roster and Personnel report was obtained during the inspection. Report continued on 809C

SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:
DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/31/2022
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: ALICE'S MONTESSORI - ASTRID
FACILITY NUMBER: 073405687
VISIT DATE: 08/31/2022
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Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov. Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s files and administrative records. 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.

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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

No deficiencies were cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days


Exit interview conducted. Report and Appeal Rights provided.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC809 (FAS) - (06/04)
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