090319030-2-28-2024-03-CC-AMAT-D2VVUE-20240228154437

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 090319030
Report Date: 02/28/2024
Date Signed: 02/28/2024 03:46:04 PM

Document Has Been Signed on 02/28/2024 03:46 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	MONTESSORI MANOR		FACILITY NUMBER:	090319030
ADMINISTRATOR:	LESLIE DILLON		FACILITY TYPE:	850
ADDRESS:	2222 FRANCISCO DRIVE, STE 400		TELEPHONE:	(916) 933-2420
CITY:	EL DORADO HILLS	STATE: CA	ZIP CODE:	95762
CAPACITY:	58	CENSUS: 52	DATE:	02/28/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Leslie Dillon		TIME COMPLETED:	02:30 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 02/28/2024 at approximately 1:50pm, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Arianna Manabat and LPA Soleil Marx met with Licensee Representative Leslie Dillon for the purpose of change of capacity. Licensee requests to decrease from 58 to 56 preschool children. The fire clearance was received and granted on 11/15/2023 for 56 children. The program operates Monday through Friday from 7:30 AM to 6:00 PM. Effective August 12th, 2024, the Licensee Rep stated that the hours are going to be set from 7:30am-5:30pm. INDOOR ACTIVITY SPACE: There is one buildings on site that are used by the facility. The preschool classroom is located in rooms 1 and 2. CAB LPA observed a sufficient amount of equipment, toys, tables, chairs, nap mats, and cubbies. During today's visit CAB LPA measured a total indoor space for the preschool as: 2293.18 square feet. This will accommodate Licensee’s request for 56 preschool children. There are two restroom on site for the preschool and one on site for the staff to use. The preschool has 7 sinks and 5 toilets. OUTDOOR ACTIVITY SPACE: There is one preschool outdoor area on the property. The outdoor play area is fenced with a wooden fence that is at least four feet tall. CAB LPA observed a sufficient amount of equipment and toys available for use. There is one play structures on site without an age label. Facility Representative was reminded to follow the safety label found on the structural website and ensure that staff will provide supervision to children. *Report continues on LIC809-C....*

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MONTESSORI MANOR	FACILITY NUMBER: 090319030
	VISIT DATE: 02/28/2024

NARRATIVE

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Facility Representative stated there are no firearms, weapons, or bodies of water on the facility premises. There are shaded areas supplied by sides of building, canopies, and overhangs. CAB LPA measured a total of 5179.56 square feet, which will accommodate Licensee’s request for 56 preschool children.

Licensee Representative 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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Prior to issuing a license, the following conditions must be submitted:

1. Pending Licensing Program Manager's final review.

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Arianna Manabat	TELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC809 (FAS) - (06/04)

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