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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419826
Report Date: 06/28/2021
Date Signed: 06/28/2021 11:55:27 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MONTESSORI ON COPPER HILLFACILITY NUMBER:
197419826
ADMINISTRATOR:BISHAN, SENEVIRATNEFACILITY TYPE:
850
ADDRESS:27908 SECO CANYON ROADTELEPHONE:
(661) 673-5676
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY:143CENSUS: 78DATE:
06/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Suzanne Naber, Assistant DirectorTIME COMPLETED:
12:15 PM
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On 06/28/2021, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Required 1 Year inspection for the above facility. Upon arrival LPA met with the facility Assistant Director who guided LPA on a tour of the facility. LPA observed 78 children in care with 13 staff members. Per Guardian, all staff members are fingerprint cleared.

The center operation hours are from 7:00 a.m. - 5:30 p.m. Monday through Friday. The Center also has licensed infant program (197419827) on the premises (Programs are kept physically separate).
Center has 6 classrooms, utilized by children in care. Classroom #1 Preschool, #2 Toddler, #3 Early Preschool, #4 Preschool, #5 is not in use at the moment and #6 TK.

Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. LPA observed individual storage with children’s name labeled for children's belongings. The classrooms consist of pitchers that contain water and children bring their own water bottles that are labeled with their names and the facility also provides disposable cups. An isolation area was inspected, which takes place inside the directors office where a mat is provided. Children are provided with mats for nap time. Age appropriate sinks and toilets were inspected for availability and good repair. Toilets flush properly; toilet and sinks are reachable by the children. Each restroom has adequate toilet paper and paper towels available. Restrooms were found to be clean and sanitary. LPA observed changing tables where a sink is within arms reach.

First Aid supplies, smoke detectors, carbon monoxide and fire extinguishers were observed and in operable condition. Trash cans with tight lids were observed. The center provides food for the children enrolled. Food was inspected and it was properly labeled, stored, and within expiration date. Refrigerator is clean and operating at the proper temperature.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI ON COPPER HILL
FACILITY NUMBER: 197419826
VISIT DATE: 06/28/2021
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There is hot and cold running water in the kitchen/food preparation area. Food preparation area is adequately equipped, clean, and free from hazards. Cleaning supplies are out of reach of children and stored separately and away from food. Menu is posted for parents review.

The outdoor play areas were inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. Climbing structures, swings, slides, and other large play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Water pitchers are readily available with disposable cups and personal cups that are labeled for children during outdoor play. There adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed in the outdoor play area.

Children's records were reviewed for completeness. Health History, Emergency contact and Medical Exams; Immunization Records and Blue cards are all in the children's files. The facility roster was up to date and disaster drills are conducted every 6 months. The last disaster drill was conducted on 02/03/2021. Director and teachers are currently certified in Pediatric CPR/First Aid which expires on 08/01/2022. Director and teachers mandated reporter training is current with expiration date of 02/24/2023.

During the inspection LPA observed adequate teacher child ratio in each classroom. Care and supervision was evaluated and determine basic needs of children are appropriate and are being met. The parent board was reviewed and has all of the required forms posted accessible to parents.

The following Incidental Medical Services (IMS) were discussed.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI ON COPPER HILL
FACILITY NUMBER: 197419826
VISIT DATE: 06/28/2021
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The following was discussed with the Assistant Director:
Smoking is prohibited on the premises of a child care center; Infant walkers, baby jumpers, exersaucers, baby rockers and any other item that falls into that category are prohibited; Earthquake safety and necessity of drills are to be conducted every 6 months and logged; Required forms for children’s files, facility files, staff files, and posting requirements; Fingerprint clearances and the transfer process.

For additional information and forms visit our website at: www.cdss.ca.gov

For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov
https://ccld.childcarevideos.org/

The above facility was found to be in substantial compliance, and no deficiencies were cited during today’s inspection.

A copy of this report must be made available to the public for 3 years.

An exit Interview was conducted, a copy of this Report and a Notice of Site visit was provided to assistant director.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3