197419166-12-6-2019-12-CC-JNEL-BJLS7R-20191206123759

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197419166
Report Date: 12/06/2019
Date Signed: 12/06/2019 12:38:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	MONTESSORI OF STEVENSON RANCH		FACILITY NUMBER:	197419166
ADMINISTRATOR:	ELLISON, DESIREE		FACILITY TYPE:	850
ADDRESS:	25940 THE OLD ROAD		TELEPHONE:	(661) 257-4161
CITY:	STEVENSON RANCH	STATE: CA	ZIP CODE:	91381
CAPACITY:	188	CENSUS: 104	DATE:	12/06/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Rushani Thomas-Wise		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	Licensing Program Analyst (LPA) Neal met with the facility Director, Rushani Thomas-Wise for the purpose of an Annual/Random inspection of the preschool component. The preschool has a toddler component. LPA observed 104 children upon arrival. There were 14 teachers. The preschool consists of 7 classrooms, including the toddler classroom. The facility operates from Mon. - Fri, 6:00 am to 6:30 pm. During this inspection, LPA toured the facility, observed equipment/supplies, and reviewed a sample of children and staff files. Incidental Medical Services (IMS) were discussed. Current Pediatric CPR and First Aid was observed. Furniture and equipment were inspected for age appropriateness and good repair. Rooms were observed to be clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. There are cubbies for children's belongings in each classroom. LPA observed age appropriate toys and materials. Drinking water is available inside the classrooms in the form of water fountains. Children also use their own personal water bottles. LPA observed a sufficient quantity of cots available for napping children. The bedding is stored separately and properly. Fire extinguisher, smoke detector and carbon monoxide detector were observed to be in operable condition.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: MONTESSORI OF STEVENSON RANCH	FACILITY NUMBER: 197419166
	VISIT DATE: 12/06/2019

NARRATIVE

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Outdoor play equipment was inspected for health, safety, cushioning material, good repair and age appropriateness. There are 4 separately gated playgrounds. One playground is for the infants; another is for the toddlers and there are 2 play grounds for the preschool children. LPA observed large play structures securely anchored and in good condition with padded grass-like surface underneath. There is also concrete areas for active play. The yard was observed to be free of debris. There are areas for shade and rest. Children bring their water bottles outside for drinking. There were are no bodies of water on the premises.

LPA inspected and observed clean bathrooms in each room (11 toilets, 7 sinks total). Sinks are outside of bathrooms inside the child care rooms, are functioning properly and age appropriate. LPA observed soap, toilet paper and paper towels readily available.

There is a clean, fully equipped kitchen. The facility provides lunch and snacks. Weekly menus are posted in classrooms and in the kitchen. Allergy list was observed posted. LPA observed an appropriate amount of food and snacks. Chemicals are kept separate from the food.

Teacher/child ratios were observed. Fire/earthquake drills are current. Roster is current. Center Director was reminded to access the Licensing website at ccld.ca.gov to review quarterly updates, regulations and obtain information about regulatory changes.

Medications are stored in the Director's office in a locked cabinet. Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered and only with parent's written permission. The director or other administrative staff administers medication and documents the dosage, date and time onto a log. Medication is brought and taken home by the parent daily or retained in the lock box properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the front office.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: MONTESSORI OF STEVENSON RANCH	FACILITY NUMBER: 197419166
	VISIT DATE: 12/06/2019

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

No deficiencies cited during this inspection.

Exit interview conducted, report was read and a copy was provided to the Director.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019

LIC809 (FAS) - (06/04)

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