274414337-2-26-2020-07-CC-JMAS-BM6USR-20200226145046

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274414337
Report Date: 02/26/2020
Date Signed: 02/26/2020 02:50:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	AUBURN'S HOUSE MONTESSORI SCHOOL		FACILITY NUMBER:	274414337
ADMINISTRATOR:	AUBURN VELASQUEZ		FACILITY TYPE:	850
ADDRESS:	1242 SIDDALL COURT		TELEPHONE:	(831) 236-0220
CITY:	SEASIDE	STATE: CA	ZIP CODE:	93955
CAPACITY:	34	CENSUS: 16	DATE:	02/26/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Joe Velasquez		TIME COMPLETED:	02:50 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) Joe Macias conducted an unannounced Case Management/ Increase of Capacity Inspection. The purpose of today’s visit is to ensure the facility is in compliance with *Title 22 California Code of Regulations.* LPA met with the Licensee/ Director Auburn & Joe Velasquez, and explained the nature of today's visit. The facility recently submitted an application for the purpose of an increase of capacity. LPA toured the Facility both inside and outside during todays visit. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule. The hours of operation are Monday - Friday, 8am - 6pm. The facility is currently licensed to provide care for 34 children and would like an increase, bringing the total capacity to 42 children. A fire safety inspection approval was received from Seaside Fire Department prior to today's inspection. The Licensees recently completed construction to the facility, by taking down a wall and decreasing the office space. The facility notified CCL and provided copies of the acquired permits. Todays indoor measurements: Room #1, 478.2 sq. ft. Room #2, 394.6 sq. ft. Room #3, 242.9 sq. ft. Room #4, 273.7 sq. ft. The new total number of indoor square footage is 1,389.4 divided by 35 = 39.697 LPA informed the Licensees that there is insufficient square footage for the requested increase of capacity to provide care for 45 children. LPA requested the Licensees submit an updated application showing the increase of capacity to be 39 children, as well as an updated facility sketch (LIC 999).

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph Macias	TELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AUBURN'S HOUSE MONTESSORI SCHOOL	FACILITY NUMBER: 274414337
	VISIT DATE: 02/26/2020

NARRATIVE

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There are 3 toilets and 3 sinks for the children. There is a separate sink and toilet for the staff. There are 40 cubbies, 16 tables, 40 chairs, 20 cots, and age appropriate toys and equipment. All windows have screens, rooms have proper lighting. Pitchers and cups will be used in the classrooms and on the playground.

Outdoor Measurements:
Playground, 2,589.259 sq. ft. divided by 75 = 34 children. LPA explained to the Licensees that a waiver request for limited outdoor space is required for the increase of capacity.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. Cleaning supplies are securely stored and inaccessible to the children. LPA observed a fully charged 2A10BC fire extinguisher, and working smoke/carbon monoxide detectors. Director states that the Facility does administer any medications at this time.

LPA observed all furniture and equipment is in good condition and safe for the children. The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate. LPA did not observe any bodies of water.

No deficiencies cited, exit interview conducted, and a copy of this report was left at the facility. LPA advised that the increase of capacity is pending Management approval.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph Macias	TELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020

LIC809 (FAS) - (06/04)

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