304370486-9-12-2019-06-CC-KDEI-BFXNZ8-20190912105355

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370486
Report Date: 09/12/2019
Date Signed: 09/12/2019 10:54:05 AM

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:	FOOTHILL MONTESSORI SCHOOL		FACILITY NUMBER:	304370486
ADMINISTRATOR:	MUDAN, JARNAIL		FACILITY TYPE:	850
ADDRESS:	18692 EAST 17TH STREET		TELEPHONE:	(714) 731-5653
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92705
CAPACITY:	56	CENSUS: 39	DATE:	09/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director:Mudan Jarnail		TIME COMPLETED:	11:15 AM

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Licensing Program Analysts Ketki Desai and Tina Nguyen conducted an unannounced Annual /Random inspection at the above facility. LPA's upon arrival met with Director Mudan Jarnial and guided the analysts on a tour of the facility. This is a preschool program which consists of 2 classrooms.

Facility operates from Monday through Friday 7.00 am-6.00 pm. All individuals present have obtained a criminal record clearance.

All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection: Room 1: 19 preschoolers with two staff, Room # 2: 20 preschoolers with three staff, later two assistants also came in for each classroom. The following was observed during the tour of the facility:

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings.

Napping equipment (mats) were observed in each classrooms and were stored properly. Linens are provided by the facility and are washed on the premises.
Isolation: Activity room is used as an Isolation area and parents are notified.
Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms.(water fountain observed to have appropriate water force)
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Director was reminded that all poisons must be under lock or combination.

This facility does not have a kitchen area. only Milk is provided by the facility and children bring in their own snacks and lunch and they are stored in classrooms and food is warmed up if needed by the staff

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

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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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: FOOTHILL MONTESSORI SCHOOL	FACILITY NUMBER: 304370486
	VISIT DATE: 09/12/2019

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LPA advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

Facility does receive quarterly updates from the Advocacy group.

There were no deficiencies cited during today’s inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Director Mudan Jarnail including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

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: FOOTHILL MONTESSORI SCHOOL	FACILITY NUMBER: 304370486
	VISIT DATE: 09/12/2019

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Outdoor playground equipment is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed via a water fountain.

Staff members including Director present at the time of inspection are current on CPR/First Aid certification.

Children’s Records were reviewed for completeness; Inspection of required forms was made. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Staff files were reviewed for completion of immunization's, MMR, TDAP & Influenza, along with the completion of the Mandated Reporter training. Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in.

Disaster drill log was available, last drill was conducted on 09/4/19

First Aid supplies were observed in the classroom in a cabinet. According to the Director medication is only administered to a child when accompanied with a doctor's note and is stored in the office in a locked cabinet.

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: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

LIC809 (FAS) - (06/04)

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