304370334-1-23-2020-06-CC-KDEI-BL4VMN-20200123153350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370334
Report Date: 01/23/2020
Date Signed: 01/23/2020 03:34:02 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	MARBELLA MONTESSORI		FACILITY NUMBER:	304370334
ADMINISTRATOR:	LATTERMAN, NICOLE		FACILITY TYPE:	850
ADDRESS:	31113 RANCHO VIEJO ROAD		TELEPHONE:	(949) 661-3355
CITY:	SAN JUAN CAPISTRANO	STATE: CA	ZIP CODE:	92675
CAPACITY:	124	CENSUS: 85	DATE:	01/23/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Administrator Latterman Nicole		TIME COMPLETED:	03:45 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), Ketki Desai conducted an on-site inspection for the purpose of an Annual inspection. LPA and Administrator Latterman Nicole toured the facility inside and outside, floor and yard plan (LIC 999) were verified. This is a Preschool center held in assigned 5 rooms. The operating hours are from 7.00 AM to 6.00 PM Monday to Friday. There was a total census of 85 Preschool children with 9 fully qualified teachers, two Administrative staff and one kitchen staff on premises. Per the facility roster 138 preschool children enrolled, 50 of them are part time enrollees only. Census in each classroom were as follows : Room # 1: 12 preschoolers with one teacher Room # 2: 23 preschoolers with one teacher and one assistant : Room # 3 : 11 preschoolers with one teacher and one assistant . Room # 4 18 preschoolers with one teacher and one assistant and Room # 5 : 21 preschoolers with one teacher and one assistant. Classrooms have a scheduled nap time (12.30 to 2.30 pm) Facility provides age appropriate bedding Mats while all the Linens are brought from home and washed on a weekly basis. They are stored in their individual bins in the classroom. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the inspection of the indoor activity space, items which could pose a danger to children (detergents, cleaning compounds, and medications) were observed to be stored out of the reach of children. Observed to be stored in locked cabinets, inaccessible to children. Poisons/Hazardous Items are not kept on the premises.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MARBELLA MONTESSORI	FACILITY NUMBER: 304370334
	VISIT DATE: 01/23/2020

NARRATIVE

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There is an assigned kitchen staff on premises, and Hot lunch / snacks are prepared daily. Parents have an option to purchase the hot lunch or bring it from home. Hot PM snacks is served by the facility while Parents sign in to bring AM snacks. Kitchen area was observed to be clean and sanitary. Food is properly stored. Menus were posted where they could be reviewed by parents.

Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. There is drinking water available to children, via water pitcher with cups in each classroom, as well as personalized water bottles. The children's bathrooms are clean and sanitary with age appropriate toilet stalls and sink .

The facility has conducted an emergency drill within the past month (12/04/19). The facility has a working carbon monoxide detector and fire extinguisher. Facility met all posting requirement. The California Child Passenger Safety Law was posted by the entrance of the facility office .

Staff files were reviewed present during the facility inspection this date, Four staff files were reviewed. Health screening and immunization's as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a Child Care center day care if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for (staff) were reviewed and within compliance.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires in November 2020 and Administrator : 11/20/2020

Facility Director was informed that the Criminal Record Statement (LIC 508) has been
updated, and the facility must now use the new form with revised date 7/15. Facility Director was also informed that the LIC 508 must be submitted with all Criminal Background Clearance.

Eight Children's records were reviewed, and there was a separate, complete and current record for each child. In the areas reviewed the children’s files were found to be in full compliance. Sign in/out procedure was reviewed. Facility has the Electronic Sign in and out procedure in place

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MARBELLA MONTESSORI	FACILITY NUMBER: 304370334
	VISIT DATE: 01/23/2020

NARRATIVE

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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.

IMS medications are stored in a locked cabinet in the front office and are administered per medical orders and log is maintained. Staff are trained through CPR trainer .
Director's office is also used as an Isolation area for the child, additional mat with linens observed.

The outdoor activity space was inspected for compliance. Younger preschool room # 3 has their own play yard, observed to be safe with appropriate fencing, required shade and age appropriate toys. All other classrooms have access to the bigger two play yards in the facility. Water fountain is accessible to the preschoolers. All the three play yards, were observed to be clean with age appropriate toys/ fencing and shade. The surface of the outdoor activity space was well maintained and free of hazards. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility.

The cushioning material wooden chips, around the climbing equipment, slides and other similar equipment appeared to be safe enough to absorbs falls

Drinking water in the outdoor activity space is provided by Water fountain.

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The Facility Director was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MARBELLA MONTESSORI	FACILITY NUMBER: 304370334
	VISIT DATE: 01/23/2020

NARRATIVE

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In the areas that were evaluated, no deficiency were observed under California Code of Regulations, Title 22, Division 12 at the time of the visit.

An exit interview was completed with Facility Administrator The report was reviewed and discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

LIC809 (FAS) - (06/04)

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