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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408292
Report Date: 07/27/2021
Date Signed: 07/27/2021 03:31:58 PM

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:LAMORINDA MONTESSORI LLCFACILITY NUMBER:
073408292
ADMINISTRATOR:MICHELLE OLIVARES-MANNINGFACILITY TYPE:
830
ADDRESS:1450 MORAGA RD.TELEPHONE:
(925) 377-0407
CITY:MORAGASTATE: CAZIP CODE:
94556
CAPACITY:12CENSUS: 12DATE:
07/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Antonio BettsTIME COMPLETED:
03:45 PM
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On 7/27/21 at 12:20pm, Licensing Program Manager (LPM) Loretta Dyson arrived at the facility for an unannounced 1 year required inspection. LPM met with Antonio Betts, the Administrator. There were 12 infants and 3 additional staff also present. The facility operates Monday - Friday 7am - 5:30pm, and is located inside of the Moraga Shopping Center. This facility is licensed for an infant program and the other component on site is a preschool program with a toddler option. LPM toured the indoor and outdoor areas that are used for the infant program, to conduct a health and safety inspection.

LPM observed that the classroom has sufficient heating, lighting and ventilation for the safety and comfort of children and staff. The classroom floors and surfaces appear to be safe and in good repair. There is an ample supply of age appropriate furniture, toys, activities and equipment which appear to be in good condition and safe. There is adequate storage for children's belongings. There are 5 cribs available for children and LPM observed them to be free of loose articles and objects. LPM observed a staff member in the napping area with a sleeping infant. LPM observed an infant sleeping on their back, in a sleep sack that allows the arms to be free, on a mattress with a fitted sheet. The sink is in sanitary and operational condition. LPM observed that the kitchen is clean, free from hazards and adequately equipped. There is a snack menu, that is dated at least a week in advance, posted. LPM did not observe any food stored with cleaning supplies. LPM observed that water is readily available both indoors and outdoors. LPM observed that the bottles and containers of food are labeled with children's names.

The outdoor play space is fully fenced and there is a sufficient amount of shade. There is an ample supply of age appropriate equipment, toys and activities. LPM observed the sand box to be free of debris. LPM observed that the outdoor surfaces are free from hazards. LPM did not observe any bodies of water, hazardous items, toxins or medication accessible to children today.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: 510-695-0243
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: LAMORINDA MONTESSORI LLC
FACILITY NUMBER: 073408292
VISIT DATE: 07/27/2021
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All required forms are posted. The last disaster drill was completed on 5/28/21. The facility is equipped with first aid kits, a working telephone, carbon monoxide detectors, centralized smoke detection system, pull down fire alarm and fully charged 3A40BC fire extinguishers. LPM observed the interaction between the staff and children in care, and found it to be in compliance with the Title 22 Regulations.

The facility uses an electronic sign in/out, and is in compliance with the sign in/out procedures. LPM reviewed children's files. Children's files reviewed have completed emergency information forms, medical assessment, infant needs and services plan, and sleep log. Staff files were reviewed today, and during an inspection on 6/24/21 completed under the preschool license. At least one staff member on site has a current CPR/First Aid certificate. The facility is operating within the licensed ratio and capacity today.

Incidental Medical Services (IMS) policy was discussed. 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. The administrator confirmed that there are no children currently enrolled that require medication to be provided while in care.

The administrator was reminded to review information related to applicable regulations on Licensing's website at www.ccld.ca.gov. LPM reminded the licensee to adhere to all requirements within the regulations at all times including supervision, personal rights, unusual incident and injury reporting, and criminal record clearance and association requirements. The licensee was encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. LPM reminded the licensee that the mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There are no deficiencies being cited, based on the inspection conducted today. This report shall remain on file for 3 years. A Notice of Site Visit was given and must remain posted for 30 days. Exit interview conducted and appeal rights provided.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: 510-695-0243
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
LIC809 (FAS) - (06/04)
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