073408881-6-18-2021-02-CC-LDYN-C4559P-20210618194553

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408881
Report Date: 08/10/2020
Date Signed: 06/18/2021 07:46:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	ALAMO MONTESSORI SCHOOL		FACILITY NUMBER:	073408881
ADMINISTRATOR:	BRINES, MARNIE		FACILITY TYPE:	850
ADDRESS:	1350 DANVILLE BLVD		TELEPHONE:	(925) 314-1706
CITY:	ALAMO	STATE: CA	ZIP CODE:	94507
CAPACITY:	26	CENSUS: 0	DATE:	08/10/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Li Hong		TIME 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 8/10/20 at 9am, Licensing Program Analyst (LPA) Loretta Dyson conducted a prelicensing tele-inspection thru the Zoom application. A tele-inspection was done due to the COVID-19 pandemic. LPA met with Li Hong, owner, and Marine Chapa (Brines), director. The facility submitted an application for a change of ownership of this preschool center. The facility is on the grounds of Creekside Community Church, and will operate Monday - Friday 8:30am-1pm in 3 rooms. The owner verified that there have been no changes to the layout of the center, which would cause a change to the measurements previously completed. The measurements from an inspection completed for the previous facility on 7/12/16 will be used: INDOOR: 893.29 square feet= 26 children OUTDOOR: 2,555.97 square feet= 34 children A fire clearance, with an approved capacity of 26 children including 18 preschoolers and 8 toddlers, was received from San Ramon Valley Fire. The inspector noted that there cannot be more than 4 infants, ages 18-24 months, in room 109 (labeled as Toddler Classroom by facility). A health and safety inspection was conducted with LPA directing the owner to focus the camera on items in each space to be used by children including the 3 rooms, children's bathrooms, and the playground. LPA observed that the rooms have sufficient lighting and the floors and surfaces appeared to be in good condition and clean. LPA reviewed the facility's procedures during drop off and pick up of children, sign in and out procedure and daily health check process. LPA observed an ample supply of age appropriate toys, equipment and furniture, which appeared to be in good condition. There is an ample supply of storage for children's belongings. LPA observed mats for children to sleep on and LPA observed that they are stored appropriately. The facility has 2 toilets and 2 sinks available, and there is a separate bathroom for staff. LPA reminded the owner and director that staff need to supervise children in the bathroom. The owner advised that families will provide snacks, and the center has extra snacks in case of emergency. The playground is fenced, has trees around to provide shade, and tan bark to provide cushioning.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2020

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: ALAMO MONTESSORI SCHOOL	FACILITY NUMBER: 073408881
	VISIT DATE: 08/10/2020

NARRATIVE

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LPA did not observe any bodies of water, hazardous items, toxins or medication accessible to children. The center has a functioning telephone, fully charged 3A40BC fire extinguisher, pull down fire alarm, smoke detector, carbon monoxide detector, and first aid supplies.

An Evaluation of Director Qualifications (LIC 9096) was previously completed, by LPA Acosta on 5/31/18, certifying that Marine Chapa is qualified as a preschool director.

Mandated reporter, reporting requirements, civil penalties, unusual incident and injury reporting and fingerprint requirements were discussed today. The owner is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the owner is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The owner is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

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.

A provisional license, with a capacity of 26 children including 18 preschoolers and 8 toddlers, will be issued effective today 8/10/20. A regular license will be issued once the following is received:
- proof of completion of the lead poisoning prevention training for Marine Chapa (Brines)
This report shall remain on file for 3 years. An electronic signature will not be obtained but a copy of the report will be sent to the owner. .

SUPERVISOR'S NAME: Diane Perez	TELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: 510-695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2020

LIC809 (FAS) - (06/04)

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