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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283008671
Report Date: 09/27/2019
Date Signed: 09/27/2019 11:58:19 AM

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:ST. HELENA MONTESSORI SCHOOLFACILITY NUMBER:
283008671
ADMINISTRATOR:HEIL, ELENA ORELLANAFACILITY TYPE:
850
ADDRESS:880 COLLEGE AVENUETELEPHONE:
(707) 963-1527
CITY:ST. HELENASTATE: CAZIP CODE:
94574
CAPACITY:81CENSUS: 54DATE:
09/27/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Elena HeilTIME COMPLETED:
12:13 PM
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LPA Kevin O'Connell made an unannounced case management inspection visit in response to a room change and an increase in capacity request for the toddler option from 6 to 15 children in Building-F (toddler building).
Seven staff were supervising 54 preschool children. Ratio and capacity are met. Fire Marshall approval was given on 9/25/19.
The 2A 40 B:C fire extinguishers were charged. There was a functioning carbon monoxide detector. The floor plan & yard plan measurements were adequate for the requested increase to 15 toddlers. There were 4 sinks and two toilets and an adult bathroom in the building.
The following information regarding ADA is provided: US Department of Justice 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, 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 licensee. The Effects of Lead Exposure brochure has been reviewed with and discussed with the licensee.
The increase in capacity and room addition change are effective as of today 9/27/19.
All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.
Failure to keep this notice posted for 30 days may result in a civil penalty of $100.
No deficiencies were cited today.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
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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