073408888-10-12-2020-02-CC-LDYN-BUBR5Z-20201012124358

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408888
Report Date: 10/12/2020
Date Signed: 10/12/2020 12:44:06 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:	MONTESSORI IMPRESSIONS ACADEMY		FACILITY NUMBER:	073408888
ADMINISTRATOR:	KAUR, JATINDER P.		FACILITY TYPE:	850
ADDRESS:	20 ORINDA FIELDS LANE		TELEPHONE:	(925) 286-5164
CITY:	ORINDA	STATE: CA	ZIP CODE:	94563
CAPACITY:	30	CENSUS: 0	DATE:	10/12/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Jatinder Kaur		TIME COMPLETED:	01:00 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	On 10/12/20 at 10:30am, Licensing Program Analyst (LPA) Loretta Dyson arrived at the facility for an announced prelicensing inspection. LPA met with Jatinder Kaur, owner/director, and Ana Rivas, assistant director. There were no children present. An application for a new preschool license at this facility was received. The facility will operate Monday-Friday 7am-6pm, in studio 4 of the Art & Garden Center at Wilder Fields. LPA completed a tour of the indoor and outdoor areas of the facility to conduct a health and safety inspection. The measurements are as follows: INDOORS: 1014.89 square feet = 29 children OUTDOORS: 5323.35 square feet = 71 children A fire clearance, dated 10/5/20, for a capacity of 30 children was received from the Moraga-Orinda Fire District. Studio 4 will be used as the classroom for the preschool and LPA observed that it has sufficient lighting, ventilation and heating for the safety and comfort of children. The floors and surfaces are clean and free of toxic substances. The furniture, equipment, toys and activities are age appropriate and in good condition, and there is an ample supply available. The facility plans to have families bring individual water bottles for each child, to provide for water both indoors and outdoors, and they will refill the bottles as needed. The facility plans to have families bring lunch from home, and they will provide snacks. There is a snack menu posted that indicates what will be served each day of each week. There is a sink inside of the classroom, and a bathroom that has 3 toilets/stalls and 3 sinks available for children and one toilet/stall for staff. They are in sanitary and operational condition. The facility advised that the bathroom will be exclusively used by the preschool. The bathroom stall for staff, and the reading corner in the classroom, will be used for the isolation of sick children and staff will ensure they are separated from other children. There are sleeping mats available for children, and they are stored appropriately in the storage room in the classroom. The applicant advised that the side door in the classroom can be locked to prevent children from going out at any time. The facility will be using an electronic sign in/out process.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2020

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: MONTESSORI IMPRESSIONS ACADEMY	FACILITY NUMBER: 073408888
	VISIT DATE: 10/12/2020

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, combination centralized smoke/carbon monoxide detector, and first aid supplies. A fence is being erected around the play area and the posts are at least 4 feet high. The play structures are secure, in good condition, age appropriate and have sufficient cushioning underneath to absorb a fall. The applicant advised that the facility will have exclusive use of the playground. LPA observed that the outdoor play area is free from defects of dangerous conditions. The facility has all of the appropriate documents for posting and LPA reminded the applicant that it needs to be visible for parents/public.

An Evaluation of Director Qualifications (LIC 9096) was previously completed to certify that Jatinder Kaur 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. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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, for a preschool with capacity of 29 children, will be issued once the following is received:
- proof that the outdoor play area has been fully fenced.
This report shall remain on file for 3 years. An exit interview was conducted with the applicant.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2020

LIC809 (FAS) - (06/04)

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