090303909-2-14-2020-03-CC-MPAL-BLSU24-20200214141118

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 090303909
Report Date: 02/14/2020
Date Signed: 02/14/2020 02:11:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	COUNTRY DAY MONTESSORI SCHOOL		FACILITY NUMBER:	090303909
ADMINISTRATOR:	CANAVERO, CAROL		FACILITY TYPE:	850
ADDRESS:	2771 SPEAR STREET		TELEPHONE:	(530) 626-1202
CITY:	PLACERVILLE	STATE: CA	ZIP CODE:	95667
CAPACITY:	30	CENSUS:	DATE:	02/14/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Carol Canavero		TIME COMPLETED:	02:25 PM

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Licensing Program Analyst (LPA) Michelle Pascual met with Director Carol Canavero for the purpose of an unannounced annual inspection. nineteen (19) preschoolers were present upon arrival. The facility is open Monday - Friday from 7:15 a.m. to 5:30 p.m.

LPA toured the facility inside and out for a health and safety inspection. PHYSICAL PLANT-The facility appeared orderly and suitable for children. Cleaning supplies and hazardous items were inaccessible to children. Medications are stored in a safe place inaccessible to children in care. Outdoor activity space and equipment was in good repair. Areas around high climbing equipment had cushioning materials. Storage containers for solid waste had lids. Uncontaminated drinking water is available both indoors and outside. The facility has a working carbon monoxide detector that meets statutory requirements. Facility has a current fire/disaster drill log and the last drill was conducted in 02/13/2020. Facility has license, parents’ rights, emergency evacuation, and car seat safety posted. FACILITY ADMINISTRAION- All staff present today had a criminal background check clearance. EVALUATION OF CARE AND SUPERVISION- Visual supervision was observed during the visit. Capacity and ratio requirements were being met. FACILITY RECORDS REVIEW- Children’s records included admission agreements. Facility maintained Sign In/Out Sheets. Staff records included a current CPR/First Aide expires 9/2021.

Facility is currently providing IMS. LPA advised to submit a plan of administration for those on medication directly to her. 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.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: COUNTRY DAY MONTESSORI SCHOOL	FACILITY NUMBER: 090303909
	VISIT DATE: 02/14/2020

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The facility evaluation report was reviewed and discussed with the licensee. A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the department’s website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of this form.

Based upon today’s inspection, No Title 22 deficiencies were observed today.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Michelle Pascual	TELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020

LIC809 (FAS) - (06/04)

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