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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283006616
Report Date: 03/10/2020
Date Signed: 03/10/2020 02:09:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:SUN AND STARS MONTESSORI SCHOOL (PRESCHOOL)FACILITY NUMBER:
283006616
ADMINISTRATOR:HARBISON, TAMMYFACILITY TYPE:
850
ADDRESS:1310 ADAMS ST.TELEPHONE:
(707) 963-1614
CITY:ST. HELENASTATE: CAZIP CODE:
94574
CAPACITY:30CENSUS: 14DATE:
03/10/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Tammy HarbisonTIME COMPLETED:
02:23 PM
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A annual inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
This program operates M-F 9:00am-3:00pm. This facility is licensed for 30 children. During today's inspection three staff were supervising 14 children, staffing ratios were being met and the facility was operating within the licensed capacity. The facility was toured inside and outside with the Director at 12:30 pm and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. The Director states that there are no poisons but knows to lock them. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors on the playground. The children's bathrooms are in safe and
sanitary condition. Children bring their own lunches. Snacks are provided. Menus were posted. Garbage containers containing solid waste have tight fitting lids. The LPA observed a working carbon monoxide detector and a charged fire extinguisher of at least 2A 10: BC or larger. The playground was free of hazards. There is "Pour N Play" and bark material for cushioning underneath climbing structures and/or play equipment to absorb falls. The Director stated no weapons are stored on site and that there are no bodies of water and none were observed. Pediatric First Aid and CPR certifications were reviewed and all three teachers possessed current certifications. Three staff records were reviewed at 1:42pm and contained documentation of education and training, Mandated Reporter certificates and immunizations as required.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: SUN AND STARS MONTESSORI SCHOOL (PRESCHOOL)
FACILITY NUMBER: 283006616
VISIT DATE: 03/10/2020
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The sign-in/sign-out procedure was reviewed and in compliance. Ten children’s records were reviewed at 1:35pm and contained signed admission agreements.
Incidental Medical Services (IMS) policy was discussed. This facility does not administer any IMS currently. 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.

This report, as well as the AAP Guide to Safe Sleep, Safe Sleep in Childcare brochure, What does a Safe Sleep Environment Look Like brochure & Safe Sleep Concepts handout, were reviewed and discussed with the Director. The Effects of Lead Exposure brochure has been reviewed with and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years. No deficiencies were cited today.



Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
LIC809 (FAS) - (06/04)
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